50D2135576 CLIA NUMBER - RITE AID PHARMACY #05192

Laboratory Demographics

  • CLIA Code: 50D2135576
  • Facility Name: RITE AID PHARMACY #05192
  • Facility Address: 12421 TOTEM LAKE BLVD NE
    KIRKLAND, WA
    ZIP 98034
  • Facility Phone: 425 821-1500
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH CASTELLANO
  • NPI Number: 1972612299
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2135576
LAB Type Pharmacy
Facility Name RITE AID PHARMACY #05192
Street 12421 TOTEM LAKE BLVD NE
City KIRKLAND
State WA
ZIP 98034
Phone 425 821-1500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2017
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director JOSEPH CASTELLANO

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