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13D2117175 CLIA NUMBER - SAV-ON PHARMACY #3339

Laboratory Demographics

CLIA Number: 13D2117175

Facility Name: SAV-ON PHARMACY #3339

Facility Address:
10565 LAKE HAZEL RD
BOISE, ID
ZIP 83709
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Facility Phone Number: 208 319-0882

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1528429768

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 13D2117175
LAB Type Pharmacy
Facility Name SAV-ON PHARMACY #3339
Street 10565 LAKE HAZEL RD
City BOISE
State ID
ZIP 83709
Phone 208 319-0882
CertificateType 4
CertificateEffectiveDate 8/10/2022
CertificateExpirationDate 8/9/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024