50D2135582 CLIA NUMBER - RITE AID PHARMACY #05184

Laboratory Demographics

  • CLIA Code: 50D2135582
  • Facility Name: RITE AID PHARMACY #05184
  • Facility Address: 22631 BOTHELL EVERETT HWY
    BOTHELL, WA
    ZIP 98021
  • Facility Phone: 425 481-8667
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH CASTELLANO
  • NPI Number: 1295844504
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2135582
LAB Type Pharmacy
Facility Name RITE AID PHARMACY #05184
Street 22631 BOTHELL EVERETT HWY
City BOTHELL
State WA
ZIP 98021
Phone 425 481-8667
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: 6/4/2025