13D2117175 CLIA NUMBER - SAV-ON PHARMACY #3339

Laboratory Demographics

  • CLIA Code: 13D2117175
  • Facility Name: SAV-ON PHARMACY #3339
  • Facility Address: 10565 LAKE HAZEL RD
    BOISE, ID
    ZIP 83709
  • Facility Phone: 208 319-0882
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIMOTHY FLYNN
  • NPI Number: 1528429768
  • Taxonomy: 3336C0003X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type Pharmacy
Lab Director TIMOTHY FLYNN

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