24D2168995 CLIA NUMBER - COBORNS PHARMACY #2027

Laboratory Demographics

  • CLIA Code: 24D2168995
  • Facility Name: COBORNS PHARMACY #2027
  • Facility Address: 2211 11TH ST E
    GLENCOE, MN
    ZIP 55336
  • Facility Phone: 320 534-2745
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRACY L. JONES
  • NPI Number: 1154622991
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2168995
LAB Type Pharmacy
Facility Name COBORNS PHARMACY #2027
Street 2211 11TH ST E
City GLENCOE
State MN
ZIP 55336
Phone 320 534-2745
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Pharmacy
Lab Director TRACY L. JONES

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