24D2183636 CLIA NUMBER - GOODRICH PHARMACY

Laboratory Demographics

  • CLIA Code: 24D2183636
  • Facility Name: GOODRICH PHARMACY
  • Facility Address: 530 3RD ST
    ELK RIVER, MN
    ZIP 55330
  • Facility Phone: 763 441-0764
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICOLE SIKORSKI
  • NPI Number: 1174635171
  • Taxonomy: 3336C0002X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2183636
LAB Type Pharmacy
Facility Name GOODRICH PHARMACY
Street 530 3RD ST
City ELK RIVER
State MN
ZIP 55330
Phone 763 441-0764
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2024
Certificate Expiration Date 5/6/2026
Facility Type Pharmacy
Lab Director NICOLE SIKORSKI

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