13D2283377 CLIA NUMBER - HILAND'S THIRTEEN INC DBA THE PHARMACY ON HILAND

Laboratory Demographics

  • CLIA Code: 13D2283377
  • Facility Name: HILAND'S THIRTEEN INC DBA THE PHARMACY ON HILAND
  • Facility Address: 1300 HILAND AVE
    BURLEY, ID
    ZIP 83318
  • Facility Phone: 208 878-2378
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEVEN L. BORDEN
  • NPI Number: 1942996871
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 13D2283377
LAB Type Pharmacy
Facility Name HILAND'S THIRTEEN INC DBA THE PHARMACY ON HILAND
Street 1300 HILAND AVE
City BURLEY
State ID
ZIP 83318
Phone 208 878-2378
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Pharmacy
Lab Director STEVEN L. BORDEN

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