16D2089574 CLIA NUMBER - THRIFTY WHITE PHARMACY #079

Laboratory Demographics

  • CLIA Code: 16D2089574
  • Facility Name: THRIFTY WHITE PHARMACY #079
  • Facility Address: 701 WEST ELM AVENUE
    POCAHONTAS, IA
    ZIP 50574
  • Facility Phone: 712 335-3119
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY JOYCE
  • NPI Number: 1699195628
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2089574
LAB Type Pharmacy
Facility Name THRIFTY WHITE PHARMACY #079
Street 701 WEST ELM AVENUE
City POCAHONTAS
State IA
ZIP 50574
Phone 712 335-3119
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2025
Certificate Expiration Date 1/4/2027
Facility Type Pharmacy
Lab Director KIMBERLY JOYCE

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