13D2310105 CLIA NUMBER - K2RED LLC DBA MEDSYNC PHARMACY

Laboratory Demographics

  • CLIA Code: 13D2310105
  • Facility Name: K2RED LLC DBA MEDSYNC PHARMACY
  • Facility Address: 801 S VISTA AVE
    BOISE, ID
    ZIP 83705
  • Facility Phone: 208 364-7777
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LIANA E. KALINOVSKIY
  • NPI Number: 1629456926
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 13D2310105
LAB Type Pharmacy
Facility Name K2RED LLC DBA MEDSYNC PHARMACY
Street 801 S VISTA AVE
City BOISE
State ID
ZIP 83705
Phone 208 364-7777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2024
Certificate Expiration Date 8/26/2026
Facility Type Pharmacy
Lab Director LIANA E. KALINOVSKIY

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