13D1036458 CLIA NUMBER - SAV-ON PHARMACY #0184

Laboratory Demographics

  • CLIA Code: 13D1036458
  • Facility Name: SAV-ON PHARMACY #0184
  • Facility Address: 6560 S FEDERAL WAY
    BOISE, ID
    ZIP 83716
  • Facility Phone: 208 429-1088
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIMOTHY FLYNN
  • NPI Number: 1003862517
  • Taxonomy: 3336C0003X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Pharmacy
Lab Director TIMOTHY FLYNN

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