13D2149920 CLIA NUMBER - RITE AID PHARMACY #5420

Laboratory Demographics

  • CLIA Code: 13D2149920
  • Facility Name: RITE AID PHARMACY #5420
  • Facility Address: 208 WEST IRONWOOD DR
    COEUR D'ALENE, ID
    ZIP 83814
  • Facility Phone: 208 664-3185
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH CASTELLANO
  • NPI Number: 1053420596
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 13D2149920
LAB Type Pharmacy
Facility Name RITE AID PHARMACY #5420
Street 208 WEST IRONWOOD DR
City COEUR D'ALENE
State ID
ZIP 83814
Phone 208 664-3185
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2024
Certificate Expiration Date 6/12/2026
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