50D2177205 CLIA NUMBER - RITE AID PHARMACY # 05267

Laboratory Demographics

  • CLIA Code: 50D2177205
  • Facility Name: RITE AID PHARMACY # 05267
  • Facility Address: 21302 STATE ROUTE 410 E
    BONNEY LAKE, WA
    ZIP 98391
  • Facility Phone: 253 862-2822
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH CASTELLANO
  • NPI Number: 1043329360
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2177205
LAB Type Pharmacy
Facility Name RITE AID PHARMACY # 05267
Street 21302 STATE ROUTE 410 E
City BONNEY LAKE
State WA
ZIP 98391
Phone 253 862-2822
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2020
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