13D2216730 CLIA NUMBER - BUHL DRUG

Laboratory Demographics

  • CLIA Code: 13D2216730
  • Facility Name: BUHL DRUG
  • Facility Address: 419 BROADWAY AVE S
    BUHL, ID
    ZIP 83316
  • Facility Phone: 208 543-5353
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL V. HIGBEE
  • NPI Number: 1083928832
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 13D2216730
LAB Type Pharmacy
Facility Name BUHL DRUG
Street 419 BROADWAY AVE S
City BUHL
State ID
ZIP 83316
Phone 208 543-5353
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2025
Certificate Expiration Date 3/15/2027
Facility Type Pharmacy
Lab Director MICHAEL V. HIGBEE

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