13D0946066 CLIA NUMBER - PRESCRIPTION CENTER

Laboratory Demographics

  • CLIA Code: 13D0946066
  • Facility Name: PRESCRIPTION CENTER
  • Facility Address: 2252 CORONADO ST
    IDAHO FALLS, ID
    ZIP 83404
  • Facility Phone: 208 523-3360
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GARY PULLEN
  • NPI Number: 1124021456
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 13D0946066
LAB Type Pharmacy
Facility Name PRESCRIPTION CENTER
Street 2252 CORONADO ST
City IDAHO FALLS
State ID
ZIP 83404
Phone 208 523-3360
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2024
Certificate Expiration Date 5/17/2026
Facility Type Pharmacy
Lab Director GARY PULLEN

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