50D2188520 CLIA NUMBER - RITE AID PHARMACY #05295

Laboratory Demographics

  • CLIA Code: 50D2188520
  • Facility Name: RITE AID PHARMACY #05295
  • Facility Address: 609 OMACHE DR
    OMAK, WA
    ZIP 98841
  • Facility Phone: 509 826-2806
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH CASTELLANO
  • NPI Number: 1003925314
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2188520
LAB Type Pharmacy
Facility Name RITE AID PHARMACY #05295
Street 609 OMACHE DR
City OMAK
State WA
ZIP 98841
Phone 509 826-2806
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2020
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director JOSEPH CASTELLANO

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