50D2186969 CLIA NUMBER - RITE AID PHARMACY #05301

Laboratory Demographics

  • CLIA Code: 50D2186969
  • Facility Name: RITE AID PHARMACY #05301
  • Facility Address: 1630 S GRAND AVE
    PULLMAN, WA
    ZIP 99163
  • Facility Phone: 509 334-7222
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH CASTELLANO
  • NPI Number: 1659480960
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2186969
LAB Type Pharmacy
Facility Name RITE AID PHARMACY #05301
Street 1630 S GRAND AVE
City PULLMAN
State WA
ZIP 99163
Phone 509 334-7222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2020
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director JOSEPH CASTELLANO

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This page was last updated on: 6/4/2025