13D1036188 CLIA NUMBER - SAV-ON PHARMACY #0169

Laboratory Demographics

  • CLIA Code: 13D1036188
  • Facility Name: SAV-ON PHARMACY #0169
  • Facility Address: 909 EAST PARKCENTER BLVD
    BOISE, ID
    ZIP 83706
  • Facility Phone: 208 338-3722
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIMOTHY FLYNN
  • NPI Number: 1831145341
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 13D1036188
LAB Type Pharmacy
Facility Name SAV-ON PHARMACY #0169
Street 909 EAST PARKCENTER BLVD
City BOISE
State ID
ZIP 83706
Phone 208 338-3722
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2025
Certificate Expiration Date 1/23/2027
Facility Type Pharmacy
Lab Director TIMOTHY FLYNN

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This page was last updated on: 6/4/2025