16D2053829 CLIA NUMBER - THRIFTY WHITE PHARMACY #56

Laboratory Demographics

  • CLIA Code: 16D2053829
  • Facility Name: THRIFTY WHITE PHARMACY #56
  • Facility Address: 1320 BROADWAY STREET
    DENISON, IA
    ZIP 51442
  • Facility Phone: (712) 263-4646
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIMOTHY J. WEBER
  • NPI Number: 1609965201
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2053829
LAB Type Pharmacy
Facility Name THRIFTY WHITE PHARMACY #56
Street 1320 BROADWAY STREET
City DENISON
State IA
ZIP 51442
Phone 7122634646
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Pharmacy
Lab Director TIMOTHY J. WEBER

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This page was last updated on: 5/18/2026