13D1035564 CLIA NUMBER - SAV-ON PHARMACY #0130

Laboratory Demographics

  • CLIA Code: 13D1035564
  • Facility Name: SAV-ON PHARMACY #0130
  • Facility Address: 911 MAIN ST N
    HAILEY, ID
    ZIP 83333
  • Facility Phone: 208 788-6713
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIMOTHY FLYNN
  • NPI Number: 1730135245
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 13D1035564
LAB Type Pharmacy
Facility Name SAV-ON PHARMACY #0130
Street 911 MAIN ST N
City HAILEY
State ID
ZIP 83333
Phone 208 788-6713
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2025
Certificate Expiration Date 1/4/2027
Facility Type Pharmacy
Lab Director TIMOTHY FLYNN

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