50D2177229 CLIA NUMBER - RITE AID PHARMACY # 05286

Laboratory Demographics

  • CLIA Code: 50D2177229
  • Facility Name: RITE AID PHARMACY # 05286
  • Facility Address: 909 E YELM AVE
    YELM, WA
    ZIP 98597
  • Facility Phone: 360 458-9011
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH CASTELLANO
  • NPI Number: 1124137443
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2177229
LAB Type Pharmacy
Facility Name RITE AID PHARMACY # 05286
Street 909 E YELM AVE
City YELM
State WA
ZIP 98597
Phone 360 458-9011
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