13D2033648 CLIA NUMBER - WALGREEN'S #12483

Laboratory Demographics

  • CLIA Code: 13D2033648
  • Facility Name: WALGREEN'S #12483
  • Facility Address: 932 CALDWELL BLVD
    NAMPA, ID
    ZIP 83651
  • Facility Phone: 208 318-0018
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAUL R. THOMAS
  • NPI Number: 1356589469
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 13D2033648
LAB Type Pharmacy
Facility Name WALGREEN'S #12483
Street 932 CALDWELL BLVD
City NAMPA
State ID
ZIP 83651
Phone 208 318-0018
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2025
Certificate Expiration Date 4/7/2027
Facility Type Pharmacy
Lab Director PAUL R. THOMAS

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