24D2054846 CLIA NUMBER - THRIFTY WHITE PHARMACY #781

Laboratory Demographics

  • CLIA Code: 24D2054846
  • Facility Name: THRIFTY WHITE PHARMACY #781
  • Facility Address: 50 MINNESOTA AVENUE
    BRECKENRIDGE, MN
    ZIP 56520
  • Facility Phone: 218 643-3871
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHLEY HELLAND
  • NPI Number: 1982954129
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2054846
LAB Type Pharmacy
Facility Name THRIFTY WHITE PHARMACY #781
Street 50 MINNESOTA AVENUE
City BRECKENRIDGE
State MN
ZIP 56520
Phone 218 643-3871
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 ASHLEY HELLAND

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