24D2054820 CLIA NUMBER - THRIFTY WHITE PHARMACY #776

Laboratory Demographics

  • CLIA Code: 24D2054820
  • Facility Name: THRIFTY WHITE PHARMACY #776
  • Facility Address: 400 MAIN STREET
    COLD SPRING, MN
    ZIP 56320
  • Facility Phone: 320 685-7015
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WILLIAM CLEVELAND
  • NPI Number: 1699006999
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2054820
LAB Type Pharmacy
Facility Name THRIFTY WHITE PHARMACY #776
Street 400 MAIN STREET
City COLD SPRING
State MN
ZIP 56320
Phone 320 685-7015
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 WILLIAM CLEVELAND

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