24D2054838 CLIA NUMBER - THRIFTY WHITE #760

Laboratory Demographics

  • CLIA Code: 24D2054838
  • Facility Name: THRIFTY WHITE #760
  • Facility Address: 760 PRENTICE STREET
    GRANITE FALLS, MN
    ZIP 56241
  • Facility Phone: 320 564-2339
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIN HAZEN
  • NPI Number: 1952490567
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2054838
LAB Type Pharmacy
Facility Name THRIFTY WHITE #760
Street 760 PRENTICE STREET
City GRANITE FALLS
State MN
ZIP 56241
Phone 320 564-2339
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 ERIN HAZEN

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