13D2082240 CLIA NUMBER - SAFEWAY PHARMACY #3295

Laboratory Demographics

  • CLIA Code: 13D2082240
  • Facility Name: SAFEWAY PHARMACY #3295
  • Facility Address: 1001 N 4TH ST
    COEUR D'ALENE, ID
    ZIP 83814
  • Facility Phone: 208 667-3860
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIMOTHY FLYNN
  • NPI Number: 1578592531
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 13D2082240
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #3295
Street 1001 N 4TH ST
City COEUR D'ALENE
State ID
ZIP 83814
Phone 208 667-3860
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: 6/4/2025