13D2182494 CLIA NUMBER - THE PRESCRIPTION PAD

Laboratory Demographics

  • CLIA Code: 13D2182494
  • Facility Name: THE PRESCRIPTION PAD
  • Facility Address: 1620 N WHITLEY DR
    FRUITLAND, ID
    ZIP 83619
  • Facility Phone: (208) 452-7075
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUDD KNUDSEN RPH
  • NPI Number: 1891102653
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 13D2182494
LAB Type Pharmacy
Facility Name THE PRESCRIPTION PAD
Street 1620 N WHITLEY DR
City FRUITLAND
State ID
ZIP 83619
Phone 2084527075
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2026
Certificate Expiration Date 4/21/2028
Facility Type Pharmacy
Lab Director JUDD KNUDSEN RPH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026