24D2054811 CLIA NUMBER - THRIFTY WHITE DRUG #755

Laboratory Demographics

  • CLIA Code: 24D2054811
  • Facility Name: THRIFTY WHITE DRUG #755
  • Facility Address: 205 6TH AVENUE
    MADISON, MN
    ZIP 56256
  • Facility Phone: 320 598-3864
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELSEY SCHLIEMAN
  • NPI Number: 1225127830
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2054811
LAB Type Pharmacy
Facility Name THRIFTY WHITE DRUG #755
Street 205 6TH AVENUE
City MADISON
State MN
ZIP 56256
Phone 320 598-3864
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Pharmacy
Lab Director KELSEY SCHLIEMAN

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