13D2182496 CLIA NUMBER - ROCKLAND PHARMACY

Laboratory Demographics

  • CLIA Code: 13D2182496
  • Facility Name: ROCKLAND PHARMACY
  • Facility Address: 524 TYHEE AVE
    AMERICAN FALLS, ID
    ZIP 83211
  • Facility Phone: 208 226-2411
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PHILIP S. ANDERSON PHARMD
  • NPI Number: 1063508018
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 13D2182496
LAB Type Pharmacy
Facility Name ROCKLAND PHARMACY
Street 524 TYHEE AVE
City AMERICAN FALLS
State ID
ZIP 83211
Phone 208 226-2411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2024
Certificate Expiration Date 4/21/2026
Facility Type Pharmacy
Lab Director PHILIP S. ANDERSON PHARMD

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