13D2264498 CLIA NUMBER - ARNZEN SUPER DRUG INC DBA ARNZEN'S GLENWOOD PHARMACY

Laboratory Demographics

  • CLIA Code: 13D2264498
  • Facility Name: ARNZEN SUPER DRUG INC DBA ARNZEN'S GLENWOOD PHARMACY
  • Facility Address: 1105 MICHIGAN AVE
    OROFINO, ID
    ZIP 83544
  • Facility Phone: 208 983-7410
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROD ARNZEN
  • NPI Number: 1679037402
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 13D2264498
LAB Type Pharmacy
Facility Name ARNZEN SUPER DRUG INC DBA ARNZEN'S GLENWOOD PHARMACY
Street 1105 MICHIGAN AVE
City OROFINO
State ID
ZIP 83544
Phone 208 983-7410
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2024
Certificate Expiration Date 7/13/2026
Facility Type Pharmacy
Lab Director ROD ARNZEN

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