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13D1036458 CLIA NUMBER - SAV-ON PHARMACY #0184

Laboratory Demographics

CLIA Number: 13D1036458

Facility Name: SAV-ON PHARMACY #0184

Facility Address:
6560 S FEDERAL WAY
BOISE, ID
ZIP 83716
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Facility Phone Number: 208 429-1088

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1003862517

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 13D1036458
LAB Type Pharmacy
Facility Name SAV-ON PHARMACY #0184
Street 6560 S FEDERAL WAY
City BOISE
State ID
ZIP 83716
Phone 208 429-1088
CertificateType 4
CertificateEffectiveDate 2/4/2023
CertificateExpirationDate 2/3/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024