13D2150967 CLIA NUMBER - SAV-MOR DRUG

Laboratory Demographics

  • CLIA Code: 13D2150967
  • Facility Name: SAV-MOR DRUG
  • Facility Address: 490 N 2 E
    MOUNTAIN HOME, ID
    ZIP 83647
  • Facility Phone: 208 587-3346
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFF S. JAUSORO PHARM D
  • NPI Number: 1962578526
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 13D2150967
LAB Type Pharmacy
Facility Name SAV-MOR DRUG
Street 490 N 2 E
City MOUNTAIN HOME
State ID
ZIP 83647
Phone 208 587-3346
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2024
Certificate Expiration Date 7/8/2026
Facility Type Pharmacy
Lab Director JEFF S. JAUSORO PHARM D

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