50D2186941 CLIA NUMBER - RITE AID PHARMACY #05269

Laboratory Demographics

  • CLIA Code: 50D2186941
  • Facility Name: RITE AID PHARMACY #05269
  • Facility Address: 1912 N PEARL ST
    TACOMA, WA
    ZIP 98406
  • Facility Phone: 253 879-0140
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH CASTELLANO
  • NPI Number: 1558377838
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2186941
LAB Type Pharmacy
Facility Name RITE AID PHARMACY #05269
Street 1912 N PEARL ST
City TACOMA
State WA
ZIP 98406
Phone 253 879-0140
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2020
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