24D0961844 CLIA NUMBER - COBORN'S PHARMACY #2

Laboratory Demographics

  • CLIA Code: 24D0961844
  • Facility Name: COBORN'S PHARMACY #2
  • Facility Address: 161 GLEN STREET PO BOX 428
    FOLEY, MN
    ZIP 56329
  • Facility Phone: 320 968-8625
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRACY L. JONES
  • NPI Number: 1932272572
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D0961844
LAB Type Pharmacy
Facility Name COBORN'S PHARMACY #2
Street 161 GLEN STREET PO BOX 428
City FOLEY
State MN
ZIP 56329
Phone 320 968-8625
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Pharmacy
Lab Director TRACY L. JONES

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