24D2157017 CLIA NUMBER - KEAVENY DRUG

Laboratory Demographics

  • CLIA Code: 24D2157017
  • Facility Name: KEAVENY DRUG
  • Facility Address: 150 MAIN AVE W
    WINSTED, MN
    ZIP 55395
  • Facility Phone: 320 485-2555
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DEBORAH KEAVENY
  • NPI Number: 1174092746
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2157017
LAB Type Pharmacy
Facility Name KEAVENY DRUG
Street 150 MAIN AVE W
City WINSTED
State MN
ZIP 55395
Phone 320 485-2555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2024
Certificate Expiration Date 10/29/2026
Facility Type Pharmacy
Lab Director DEBORAH KEAVENY

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