13D2126014 CLIA NUMBER - RITE AID PHARMACY #5410

Laboratory Demographics

  • CLIA Code: 13D2126014
  • Facility Name: RITE AID PHARMACY #5410
  • Facility Address: 451 DEINHARD LANE
    MCCALL, ID
    ZIP 83638
  • Facility Phone: 208 634-4929
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH CASTELLANO
  • NPI Number: 1073529376
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 13D2126014
LAB Type Pharmacy
Facility Name RITE AID PHARMACY #5410
Street 451 DEINHARD LANE
City MCCALL
State ID
ZIP 83638
Phone 208 634-4929
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2025
Certificate Expiration Date 2/16/2027
Facility Type Pharmacy
Lab Director JOSEPH CASTELLANO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025