24D2033290 CLIA NUMBER - COBORN'S PHARMACY #8

Laboratory Demographics

  • CLIA Code: 24D2033290
  • Facility Name: COBORN'S PHARMACY #8
  • Facility Address: 705 COUNTY ROAD 75
    CLEARWATER, MN
    ZIP 55320
  • Facility Phone: 320 558-2454
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRACY L. JONES
  • NPI Number: 1003989641
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2033290
LAB Type Pharmacy
Facility Name COBORN'S PHARMACY #8
Street 705 COUNTY ROAD 75
City CLEARWATER
State MN
ZIP 55320
Phone 320 558-2454
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Pharmacy
Lab Director TRACY L. JONES

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