50D2187007 CLIA NUMBER - RITE AID PHARMACY #06455

Laboratory Demographics

  • CLIA Code: 50D2187007
  • Facility Name: RITE AID PHARMACY #06455
  • Facility Address: 17615 140TH AVE SE
    RENTON, WA
    ZIP 98058
  • Facility Phone: 425 204-1585
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH CASTELLANO
  • NPI Number: 1881610061
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D2187007
LAB Type Pharmacy
Facility Name RITE AID PHARMACY #06455
Street 17615 140TH AVE SE
City RENTON
State WA
ZIP 98058
Phone 425 204-1585
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

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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