24D1088677 CLIA NUMBER - THRIFTY WHITE DRUG PHARMACY #103

Laboratory Demographics

  • CLIA Code: 24D1088677
  • Facility Name: THRIFTY WHITE DRUG PHARMACY #103
  • Facility Address: 503 THIRD AVE E SUITE 100
    ALEXANDRIA, MN
    ZIP 56308
  • Facility Phone: 320 762-1534
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAYMOND GLASER
  • NPI Number: 1083056584
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D1088677
LAB Type Pharmacy
Facility Name THRIFTY WHITE DRUG PHARMACY #103
Street 503 THIRD AVE E SUITE 100
City ALEXANDRIA
State MN
ZIP 56308
Phone 320 762-1534
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2024
Certificate Expiration Date 9/1/2026
Facility Type Pharmacy
Lab Director RAYMOND GLASER

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