50D2186820 CLIA NUMBER - RITE AID PHARMACY #05254

Laboratory Demographics

  • CLIA Code: 50D2186820
  • Facility Name: RITE AID PHARMACY #05254
  • Facility Address: 4117 KITSAP WAY
    BREMERTON, WA
    ZIP 98312
  • Facility Phone: 360 479-2415
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH CASTELLANO
  • NPI Number: 1730298043
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2186820
LAB Type Pharmacy
Facility Name RITE AID PHARMACY #05254
Street 4117 KITSAP WAY
City BREMERTON
State WA
ZIP 98312
Phone 360 479-2415
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2020
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