50D2177258 CLIA NUMBER - RITE AID PHARMACY # 05311

Laboratory Demographics

  • CLIA Code: 50D2177258
  • Facility Name: RITE AID PHARMACY # 05311
  • Facility Address: 12420 N DIVISION ST
    SPOKANE, WA
    ZIP 99218
  • Facility Phone: 509 466-1946
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAX BAIRE
  • NPI Number: 1962513192
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2177258
LAB Type Pharmacy
Facility Name RITE AID PHARMACY # 05311
Street 12420 N DIVISION ST
City SPOKANE
State WA
ZIP 99218
Phone 509 466-1946
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2025
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director MAX BAIRE

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