50D2187098 CLIA NUMBER - RITE AID PHARMACY #04063

Laboratory Demographics

  • CLIA Code: 50D2187098
  • Facility Name: RITE AID PHARMACY #04063
  • Facility Address: 12 N 9TH AVE
    YAKIMA, WA
    ZIP 98902
  • Facility Phone: 509 452-2600
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH CASTELLANO
  • NPI Number: 1881809176
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2187098
LAB Type Pharmacy
Facility Name RITE AID PHARMACY #04063
Street 12 N 9TH AVE
City YAKIMA
State WA
ZIP 98902
Phone 509 452-2600
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: 3/20/2025