13D2193089 CLIA NUMBER - CD PHARMACY LLC DBA RED ROCK PHARMACY

Laboratory Demographics

  • CLIA Code: 13D2193089
  • Facility Name: CD PHARMACY LLC DBA RED ROCK PHARMACY
  • Facility Address: 2370 S TITANIUM PL
    MERIDIAN, ID
    ZIP 83642
  • Facility Phone: 208 288-1200
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KENNETH E. NORRIS
  • NPI Number: 1609365345
  • Taxonomy: 3336L0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 13D2193089
LAB Type Pharmacy
Facility Name CD PHARMACY LLC DBA RED ROCK PHARMACY
Street 2370 S TITANIUM PL
City MERIDIAN
State ID
ZIP 83642
Phone 208 288-1200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type Pharmacy
Lab Director KENNETH E. NORRIS

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: 9/29/2025