13D2033414 CLIA NUMBER - WALGREEN'S #10604

Laboratory Demographics

  • CLIA Code: 13D2033414
  • Facility Name: WALGREEN'S #10604
  • Facility Address: 1625 S MERIDIAN RD
    MERIDIAN, ID
    ZIP 83642
  • Facility Phone: 208 319-0600
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATLYN GETTELFINGER
  • NPI Number: 1154503837
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 13D2033414
LAB Type Pharmacy
Facility Name WALGREEN'S #10604
Street 1625 S MERIDIAN RD
City MERIDIAN
State ID
ZIP 83642
Phone 208 319-0600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2025
Certificate Expiration Date 2/1/2027
Facility Type Pharmacy
Lab Director KATLYN GETTELFINGER

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