13D2095588 CLIA NUMBER - SAVEWAY MARKET PHARMACY

Laboratory Demographics

  • CLIA Code: 13D2095588
  • Facility Name: SAVEWAY MARKET PHARMACY
  • Facility Address: 1200 SHOUP ST
    SALMON, ID
    ZIP 83467
  • Facility Phone: 208 756-1940
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALLISON A. CARDONA
  • NPI Number: 1164804795
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 13D2095588
LAB Type Pharmacy
Facility Name SAVEWAY MARKET PHARMACY
Street 1200 SHOUP ST
City SALMON
State ID
ZIP 83467
Phone 208 756-1940
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2025
Certificate Expiration Date 5/6/2027
Facility Type Pharmacy
Lab Director ALLISON A. CARDONA

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