13D2033518 CLIA NUMBER - WALGREEN'S #11452

Laboratory Demographics

  • CLIA Code: 13D2033518
  • Facility Name: WALGREEN'S #11452
  • Facility Address: 3263 N EAGLE ROAD
    MERIDIAN, ID
    ZIP 83646
  • Facility Phone: 208 319-0612
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GEORGE E. TURGOOSE
  • NPI Number: 1144498965
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 13D2033518
LAB Type Pharmacy
Facility Name WALGREEN'S #11452
Street 3263 N EAGLE ROAD
City MERIDIAN
State ID
ZIP 83646
Phone 208 319-0612
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Pharmacy
Lab Director GEORGE E. TURGOOSE

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