24D2033664 CLIA NUMBER - COBORN'S PHARMACY # 2006

Laboratory Demographics

  • CLIA Code: 24D2033664
  • Facility Name: COBORN'S PHARMACY # 2006
  • Facility Address: 1105 2ND AVENUE NE
    LITTLE FALLS, MN
    ZIP 56345
  • Facility Phone: 320 632-2380
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRACY L. JONES
  • NPI Number: 1417480633
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2033664
LAB Type Pharmacy
Facility Name COBORN'S PHARMACY # 2006
Street 1105 2ND AVENUE NE
City LITTLE FALLS
State MN
ZIP 56345
Phone 320 632-2380
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2023
Certificate Expiration Date 12/7/2025
Facility Type Pharmacy
Lab Director TRACY L. JONES

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