13D2241866 CLIA NUMBER - PRESTON DRUG

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CLIA Record

Field Name Field Value
CLIA Number 13D2241866
LAB Type Pharmacy
Facility Name PRESTON DRUG
Street 39 N 1ST E
City PRESTON
State ID
ZIP 83263
Phone 208 852-1563
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type Pharmacy
Lab Director SETH W. HASLAM

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