13D1045241 CLIA NUMBER - WHITE CROSS PHARMACY

Laboratory Demographics

  • CLIA Code: 13D1045241
  • Facility Name: WHITE CROSS PHARMACY
  • Facility Address: 1319 HIGHWAY 2 #A
    SANDPOINT, ID
    ZIP 83864
  • Facility Phone: 208 263-9080
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICHARD DE BLAQUIERE
  • NPI Number: 1891783668
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 13D1045241
LAB Type Pharmacy
Facility Name WHITE CROSS PHARMACY
Street 1319 HIGHWAY 2 #A
City SANDPOINT
State ID
ZIP 83864
Phone 208 263-9080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2025
Certificate Expiration Date 9/8/2027
Facility Type Pharmacy
Lab Director RICHARD DE BLAQUIERE

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