13D2082233 CLIA NUMBER - SAFEWAY PHARMACY #0350

Laboratory Demographics

  • CLIA Code: 13D2082233
  • Facility Name: SAFEWAY PHARMACY #0350
  • Facility Address: 702 N 5TH AVE
    SANDPOINT, ID
    ZIP 83864
  • Facility Phone: 208 263-8923
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIMOTHY FLYNN
  • NPI Number: 1487683447
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 13D2082233
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0350
Street 702 N 5TH AVE
City SANDPOINT
State ID
ZIP 83864
Phone 208 263-8923
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2024
Certificate Expiration Date 8/10/2026
Facility Type Pharmacy
Lab Director TIMOTHY FLYNN

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