13D1035617 CLIA NUMBER - SAV-ON PHARMACY #0154

Laboratory Demographics

  • CLIA Code: 13D1035617
  • Facility Name: SAV-ON PHARMACY #0154
  • Facility Address: 1520 N COLE RD
    BOISE, ID
    ZIP 83704
  • Facility Phone: 208 375-8278
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIMOTHY FLYNN
  • NPI Number: 1104872027
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 13D1035617
LAB Type Pharmacy
Facility Name SAV-ON PHARMACY #0154
Street 1520 N COLE RD
City BOISE
State ID
ZIP 83704
Phone 208 375-8278
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2025
Certificate Expiration Date 1/5/2027
Facility Type Pharmacy
Lab Director TIMOTHY FLYNN

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: 6/4/2025