13D1045752 CLIA NUMBER - SAV-ON PHARMACY #0182

Laboratory Demographics

  • CLIA Code: 13D1045752
  • Facility Name: SAV-ON PHARMACY #0182
  • Facility Address: 250 S EAGLE RD
    EAGLE, ID
    ZIP 83616
  • Facility Phone: 208 939-9854
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIMOTHY FLYNN
  • NPI Number: 1386690899
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 13D1045752
LAB Type Pharmacy
Facility Name SAV-ON PHARMACY #0182
Street 250 S EAGLE RD
City EAGLE
State ID
ZIP 83616
Phone 208 939-9854
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2025
Certificate Expiration Date 9/21/2027
Facility Type Pharmacy
Lab Director TIMOTHY FLYNN

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