13D1035403 CLIA NUMBER - SAV-ON PHARMACY #1602

Laboratory Demographics

  • CLIA Code: 13D1035403
  • Facility Name: SAV-ON PHARMACY #1602
  • Facility Address: 715 12TH AVE S
    NAMPA, ID
    ZIP 83651
  • Facility Phone: 208 466-3592
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIMOTHY FLYNN
  • NPI Number: 1114973039
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 13D1035403
LAB Type Pharmacy
Facility Name SAV-ON PHARMACY #1602
Street 715 12TH AVE S
City NAMPA
State ID
ZIP 83651
Phone 208 466-3592
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Pharmacy
Lab Director TIMOTHY FLYNN

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