50D2177208 CLIA NUMBER - RITE AID PHARMACY # 05247

Laboratory Demographics

  • CLIA Code: 50D2177208
  • Facility Name: RITE AID PHARMACY # 05247
  • Facility Address: 31645 STATE ROUTE 20
    OAK HARBOR, WA
    ZIP 98277
  • Facility Phone: 360 679-3522
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH CASTELLANO
  • NPI Number: 1346256633
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2177208
LAB Type Pharmacy
Facility Name RITE AID PHARMACY # 05247
Street 31645 STATE ROUTE 20
City OAK HARBOR
State WA
ZIP 98277
Phone 360 679-3522
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