24D2054077 CLIA NUMBER - THRIFTY WHITE DRUG #037

Laboratory Demographics

  • CLIA Code: 24D2054077
  • Facility Name: THRIFTY WHITE DRUG #037
  • Facility Address: 211 MARKET DRIVE SUITE C
    PERHAM, MN
    ZIP 56573
  • Facility Phone: 218 346-4840
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PEYTON MANECKE
  • NPI Number: 1871682476
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2054077
LAB Type Pharmacy
Facility Name THRIFTY WHITE DRUG #037
Street 211 MARKET DRIVE SUITE C
City PERHAM
State MN
ZIP 56573
Phone 218 346-4840
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2025
Certificate Expiration Date 2/12/2027
Facility Type Pharmacy
Lab Director PEYTON MANECKE

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