50D2186951 CLIA NUMBER - RITE AID PHARMACY #05287

Laboratory Demographics

  • CLIA Code: 50D2186951
  • Facility Name: RITE AID PHARMACY #05287
  • Facility Address: 230 KELSO DR
    KELSO, WA
    ZIP 98626
  • Facility Phone: 360 577-2693
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSPEH CASTELLANO
  • NPI Number: 1760403653
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2186951
LAB Type Pharmacy
Facility Name RITE AID PHARMACY #05287
Street 230 KELSO DR
City KELSO
State WA
ZIP 98626
Phone 360 577-2693
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 JOSPEH CASTELLANO

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