24D2054815 CLIA NUMBER - THRIFTY WHITE PHARMACY #742

Laboratory Demographics

  • CLIA Code: 24D2054815
  • Facility Name: THRIFTY WHITE PHARMACY #742
  • Facility Address: 3 HIGHWAY 28 EAST
    MORRIS, MN
    ZIP 56267
  • Facility Phone: 320 589-4550
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICOLE DOUGHERTY
  • NPI Number: 1316036924
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2054815
LAB Type Pharmacy
Facility Name THRIFTY WHITE PHARMACY #742
Street 3 HIGHWAY 28 EAST
City MORRIS
State MN
ZIP 56267
Phone 320 589-4550
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 NICOLE DOUGHERTY

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