24D2054817 CLIA NUMBER - THRIFTY WHITE DRUG #736

Laboratory Demographics

  • CLIA Code: 24D2054817
  • Facility Name: THRIFTY WHITE DRUG #736
  • Facility Address: 201 NORTH HORACE AVENUE
    THIEF RIVER FALLS, MN
    ZIP 56701
  • Facility Phone: 218 681-2932
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERICA HRUBY
  • NPI Number: 1316036916
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2054817
LAB Type Pharmacy
Facility Name THRIFTY WHITE DRUG #736
Street 201 NORTH HORACE AVENUE
City THIEF RIVER FALLS
State MN
ZIP 56701
Phone 218 681-2932
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 ERICA HRUBY

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