50D2187013 CLIA NUMBER - RITE AID PHARMACY #06488

Laboratory Demographics

CLIA Number: 50D2187013

Facility Name: RITE AID PHARMACY #06488

Facility Address:
105 WASHINGTON AVE N
KENT, WA
ZIP 98032
Get Directions

Facility Phone Number: 253 373-0156

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1821268699

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	50D2187013
LAB Type	Pharmacy
Facility Name	RITE AID PHARMACY #06488
Street	105 WASHINGTON AVE N
City	KENT
State	WA
ZIP	98032
Phone	253 373-0156
CertificateType	4
CertificateEffectiveDate	6/24/2020
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024