24D1101336 CLIA NUMBER - COBORN'S PHARMACY #28

Laboratory Demographics

  • CLIA Code: 24D1101336
  • Facility Name: COBORN'S PHARMACY #28
  • Facility Address: 1400 BABCOCK BLVD EAST
    DELANO, MN
    ZIP 55328
  • Facility Phone: 763 972-8385
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRACY L. JONES
  • NPI Number: 1902978679
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D1101336
LAB Type Pharmacy
Facility Name COBORN'S PHARMACY #28
Street 1400 BABCOCK BLVD EAST
City DELANO
State MN
ZIP 55328
Phone 763 972-8385
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2025
Certificate Expiration Date 6/24/2027
Facility Type Pharmacy
Lab Director TRACY L. JONES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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