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13D1036464 CLIA NUMBER - SAV-ON PHARMACY #0238

Laboratory Demographics

CLIA Number: 13D1036464

Facility Name: SAV-ON PHARMACY #0238

Facility Address:
1024 21ST ST
LEWISTON, ID
ZIP 83501
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Facility Phone Number: 208 743-1529

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1750337267

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