13D1036464 CLIA NUMBER - SAV-ON PHARMACY #0238

Laboratory Demographics

  • CLIA Code: 13D1036464
  • Facility Name: SAV-ON PHARMACY #0238
  • Facility Address: 1024 21ST ST
    LEWISTON, ID
    ZIP 83501
  • Facility Phone: 208 743-1529
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIMOTHY FLYNN
  • NPI Number: 1750337267
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 13D1036464
LAB Type Pharmacy
Facility Name SAV-ON PHARMACY #0238
Street 1024 21ST ST
City LEWISTON
State ID
ZIP 83501
Phone 208 743-1529
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