24D2054825 CLIA NUMBER - THRIFTY WHITE PHARMACY #022

Laboratory Demographics

  • CLIA Code: 24D2054825
  • Facility Name: THRIFTY WHITE PHARMACY #022
  • Facility Address: 2300 FIRST STREET SOUTH
    WILLMAR, MN
    ZIP 56201
  • Facility Phone: 320 235-1930
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAUREN AASE
  • NPI Number: 1326138256
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2054825
LAB Type Pharmacy
Facility Name THRIFTY WHITE PHARMACY #022
Street 2300 FIRST STREET SOUTH
City WILLMAR
State MN
ZIP 56201
Phone 320 235-1930
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 LAUREN AASE

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