24D2054003 CLIA NUMBER - THRIFTY WHITE PHARMACY #780

Laboratory Demographics

  • CLIA Code: 24D2054003
  • Facility Name: THRIFTY WHITE PHARMACY #780
  • Facility Address: 310 LAKE STREET
    WARROAD, MN
    ZIP 56763
  • Facility Phone: 218 386-2056
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMES R. THOMPSON
  • NPI Number: 1073895041
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2054003
LAB Type Pharmacy
Facility Name THRIFTY WHITE PHARMACY #780
Street 310 LAKE STREET
City WARROAD
State MN
ZIP 56763
Phone 218 386-2056
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2025
Certificate Expiration Date 2/11/2027
Facility Type Pharmacy
Lab Director JAMES R. THOMPSON

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