24D2054877 CLIA NUMBER - THRIFTY WHITE PHARMACY #748

Laboratory Demographics

  • CLIA Code: 24D2054877
  • Facility Name: THRIFTY WHITE PHARMACY #748
  • Facility Address: 216 7TH STREET S, PO BOX 1267
    WALKER, MN
    ZIP 56484
  • Facility Phone: 218 547-1016
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LOGAN ZIEGLER
  • NPI Number: 1417047358
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2054877
LAB Type Pharmacy
Facility Name THRIFTY WHITE PHARMACY #748
Street 216 7TH STREET S, PO BOX 1267
City WALKER
State MN
ZIP 56484
Phone 218 547-1016
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 LOGAN ZIEGLER

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