13D2034371 CLIA NUMBER - WALGREENS #07949

Laboratory Demographics

  • CLIA Code: 13D2034371
  • Facility Name: WALGREENS #07949
  • Facility Address: 706 E SELTICE WAY
    POST FALLS, ID
    ZIP 83854
  • Facility Phone: 208 777-4071
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TERESA D. MITTELSTEDT
  • NPI Number: 1598770612
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 13D2034371
LAB Type Pharmacy
Facility Name WALGREENS #07949
Street 706 E SELTICE WAY
City POST FALLS
State ID
ZIP 83854
Phone 208 777-4071
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 TERESA D. MITTELSTEDT

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