13D2033257 CLIA NUMBER - WALGREENS #01972

Laboratory Demographics

  • CLIA Code: 13D2033257
  • Facility Name: WALGREENS #01972
  • Facility Address: 6725 N GLENWOOD STREET
    BOISE, ID
    ZIP 83714
  • Facility Phone: 208 319-1271
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JANEY D. OSTERBERG PHARMD
  • NPI Number: 1134134257
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 13D2033257
LAB Type Pharmacy
Facility Name WALGREENS #01972
Street 6725 N GLENWOOD STREET
City BOISE
State ID
ZIP 83714
Phone 208 319-1271
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type Pharmacy
Lab Director JANEY D. OSTERBERG PHARMD

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