24D2097440 CLIA NUMBER - COBORN'S PHARMACY #2037

Laboratory Demographics

  • CLIA Code: 24D2097440
  • Facility Name: COBORN'S PHARMACY #2037
  • Facility Address: 225 33RD STREET WEST
    HASTINGS, MN
    ZIP 55033
  • Facility Phone: 651 437-6716
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRACY L. JONES
  • NPI Number: 1447447644
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2097440
LAB Type Pharmacy
Facility Name COBORN'S PHARMACY #2037
Street 225 33RD STREET WEST
City HASTINGS
State MN
ZIP 55033
Phone 651 437-6716
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2025
Certificate Expiration Date 6/15/2027
Facility Type Pharmacy
Lab Director TRACY L. JONES

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