24D2089581 CLIA NUMBER - THRIFTY WHITE PHARMACY 734

Laboratory Demographics

  • CLIA Code: 24D2089581
  • Facility Name: THRIFTY WHITE PHARMACY 734
  • Facility Address: 1484 LINCOLN AVE WEST
    FERGUS FALLS, MN
    ZIP 56537
  • Facility Phone: 218 736-5565
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ELIZABETH WILLIAMSCHEN
  • NPI Number: 1972692572
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2089581
LAB Type Pharmacy
Facility Name THRIFTY WHITE PHARMACY 734
Street 1484 LINCOLN AVE WEST
City FERGUS FALLS
State MN
ZIP 56537
Phone 218 736-5565
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2025
Certificate Expiration Date 1/4/2027
Facility Type Pharmacy
Lab Director ELIZABETH WILLIAMSCHEN

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