13D2307153 CLIA NUMBER - INCLUSIVE CARE CLINIC PHARMACY

Laboratory Demographics

  • CLIA Code: 13D2307153
  • Facility Name: INCLUSIVE CARE CLINIC PHARMACY
  • Facility Address: 407 E CHUBBUCK RD
    CHUBBUCK, ID
    ZIP 83202
  • Facility Phone: 208 913-2273
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CATHERINE A. CASHMORE
  • NPI Number: 1578312021
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 13D2307153
LAB Type Pharmacy
Facility Name INCLUSIVE CARE CLINIC PHARMACY
Street 407 E CHUBBUCK RD
City CHUBBUCK
State ID
ZIP 83202
Phone 208 913-2273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2024
Certificate Expiration Date 7/1/2026
Facility Type Pharmacy
Lab Director CATHERINE A. CASHMORE

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