24D2054888 CLIA NUMBER - THRIFTY WHITE PHARMACY #038

Laboratory Demographics

  • CLIA Code: 24D2054888
  • Facility Name: THRIFTY WHITE PHARMACY #038
  • Facility Address: 202 SOUTH 2ND AVE
    VIRGINIA, MN
    ZIP 55792
  • Facility Phone: 218 749-6333
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANGELA DELICH
  • NPI Number: 1235229162
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2054888
LAB Type Pharmacy
Facility Name THRIFTY WHITE PHARMACY #038
Street 202 SOUTH 2ND AVE
City VIRGINIA
State MN
ZIP 55792
Phone 218 749-6333
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 ANGELA DELICH

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