24D2137283 CLIA NUMBER - THRIFTY WHITE PHARMACY #789

Laboratory Demographics

  • CLIA Code: 24D2137283
  • Facility Name: THRIFTY WHITE PHARMACY #789
  • Facility Address: 1703 MADISON AVENUE
    MANKATO, MN
    ZIP 56001
  • Facility Phone: 507 345-7215
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AUDRA POGGI
  • NPI Number: 1598282303
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2137283
LAB Type Pharmacy
Facility Name THRIFTY WHITE PHARMACY #789
Street 1703 MADISON AVENUE
City MANKATO
State MN
ZIP 56001
Phone 507 345-7215
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2025
Certificate Expiration Date 9/24/2027
Facility Type Pharmacy
Lab Director AUDRA POGGI

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