13D1002737 CLIA NUMBER - SAV-ON PHARMACY #0159

Laboratory Demographics

  • CLIA Code: 13D1002737
  • Facility Name: SAV-ON PHARMACY #0159
  • Facility Address: 330 E BENTON ST
    POCATELLO, ID
    ZIP 83201
  • Facility Phone: 208 233-0651
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIMOTHY FLYNN
  • NPI Number: 1669428173
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 13D1002737
LAB Type Pharmacy
Facility Name SAV-ON PHARMACY #0159
Street 330 E BENTON ST
City POCATELLO
State ID
ZIP 83201
Phone 208 233-0651
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2024
Certificate Expiration Date 8/13/2026
Facility Type Pharmacy
Lab Director TIMOTHY FLYNN

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