13D2117206 CLIA NUMBER - SAV-ON PHARMACY #3366

Laboratory Demographics

  • CLIA Code: 13D2117206
  • Facility Name: SAV-ON PHARMACY #3366
  • Facility Address: 20 E WYOMING AVE
    HOMEDALE, ID
    ZIP 83628
  • Facility Phone: 208 337-4888
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIMOTHY FLYNN
  • NPI Number: 1366802233
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 13D2117206
LAB Type Pharmacy
Facility Name SAV-ON PHARMACY #3366
Street 20 E WYOMING AVE
City HOMEDALE
State ID
ZIP 83628
Phone 208 337-4888
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