13D0962741 CLIA NUMBER - SANDPOINT SUPER DRUG

Laboratory Demographics

  • CLIA Code: 13D0962741
  • Facility Name: SANDPOINT SUPER DRUG
  • Facility Address: 604 N 5TH AVE
    SANDPOINT, ID
    ZIP 83864
  • Facility Phone: 208 818-1332
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SCOTT A. PORTER
  • NPI Number: 1326035585
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 13D0962741
LAB Type Pharmacy
Facility Name SANDPOINT SUPER DRUG
Street 604 N 5TH AVE
City SANDPOINT
State ID
ZIP 83864
Phone 208 818-1332
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Pharmacy
Lab Director SCOTT A. PORTER

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