50D2097329 CLIA NUMBER - RITE AID PHARMACY #05188

Laboratory Demographics

  • CLIA Code: 50D2097329
  • Facility Name: RITE AID PHARMACY #05188
  • Facility Address: 3066 ISSAQUAH PINE LAKE RD SE
    SAMMAMISH, WA
    ZIP 98075
  • Facility Phone: 425 391-1582
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH A. CASTELLNAO
  • NPI Number: 1780698829
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2097329
LAB Type Pharmacy
Facility Name RITE AID PHARMACY #05188
Street 3066 ISSAQUAH PINE LAKE RD SE
City SAMMAMISH
State WA
ZIP 98075
Phone 425 391-1582
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2015
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director JOSEPH A. CASTELLNAO

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