13D1035485 CLIA NUMBER - SAV-ON PHARMACY #0103

Laboratory Demographics

  • CLIA Code: 13D1035485
  • Facility Name: SAV-ON PHARMACY #0103
  • Facility Address: 415 CLEVELAND BLVD
    CALDWELL, ID
    ZIP 83605
  • Facility Phone: 208 459-1756
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIMOTHY FLYNN
  • NPI Number: 1568418077
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 13D1035485
LAB Type Pharmacy
Facility Name SAV-ON PHARMACY #0103
Street 415 CLEVELAND BLVD
City CALDWELL
State ID
ZIP 83605
Phone 208 459-1756
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2025
Certificate Expiration Date 1/3/2027
Facility Type Pharmacy
Lab Director TIMOTHY FLYNN

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