Healther Providers Data Logo

13D2033414 CLIA NUMBER - WALGREEN'S #10604

Laboratory Demographics

CLIA Number: 13D2033414

Facility Name: WALGREEN'S #10604

Facility Address:
1625 S MERIDIAN RD
MERIDIAN, ID
ZIP 83642
Get Directions

Facility Phone Number: 208 319-0600

Facility Type: Other - COVID TESTING

Certificate Type: Waiver
NPI Number: 1154503837

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 13D2033414
LAB Type Other - COVID TESTING
Facility Name WALGREEN'S #10604
Street 1625 S MERIDIAN RD
City MERIDIAN
State ID
ZIP 83642
Phone 208 319-0600
CertificateType 4
CertificateEffectiveDate 2/2/2023
CertificateExpirationDate 2/1/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

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

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024