24D2055043 CLIA NUMBER - THRIFTY WHITE PHARMACY #779

Laboratory Demographics

  • CLIA Code: 24D2055043
  • Facility Name: THRIFTY WHITE PHARMACY #779
  • Facility Address: 112A MAIN STREET SOUTH
    PIERZ, MN
    ZIP 56364
  • Facility Phone: 320 468-2072
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRADLEY HIRCOCK
  • NPI Number: 1922302447
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2055043
LAB Type Pharmacy
Facility Name THRIFTY WHITE PHARMACY #779
Street 112A MAIN STREET SOUTH
City PIERZ
State MN
ZIP 56364
Phone 320 468-2072
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Pharmacy
Lab Director BRADLEY HIRCOCK

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