13D1096461 CLIA NUMBER - SAV-ON PHARMACY #0171

Laboratory Demographics

  • CLIA Code: 13D1096461
  • Facility Name: SAV-ON PHARMACY #0171
  • Facility Address: 490 N 2ND E
    REXBURG, ID
    ZIP 83440
  • Facility Phone: 208 542-2088
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIMOTHY FLYNN
  • NPI Number: 1891964300
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 13D1096461
LAB Type Pharmacy
Facility Name SAV-ON PHARMACY #0171
Street 490 N 2ND E
City REXBURG
State ID
ZIP 83440
Phone 208 542-2088
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Pharmacy
Lab Director TIMOTHY FLYNN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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