24D2054824 CLIA NUMBER - THRIFTY WHITE PHARMACY #778

Laboratory Demographics

  • CLIA Code: 24D2054824
  • Facility Name: THRIFTY WHITE PHARMACY #778
  • Facility Address: 321 NORTH JEFFERSON
    WADENA, MN
    ZIP 56482
  • Facility Phone: 218 631-4050
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH NELSON
  • NPI Number: 1457652497
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2054824
LAB Type Pharmacy
Facility Name THRIFTY WHITE PHARMACY #778
Street 321 NORTH JEFFERSON
City WADENA
State MN
ZIP 56482
Phone 218 631-4050
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 JOSEPH NELSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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