24D2223938 CLIA NUMBER - THRIFTY WHITE PHARMACY #791

Laboratory Demographics

  • CLIA Code: 24D2223938
  • Facility Name: THRIFTY WHITE PHARMACY #791
  • Facility Address: 111 N MAIN AVE, PO BOX 460
    BAUDETTE, MN
    ZIP 56623
  • Facility Phone: (218) 634-1236
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JANAYA L. WOOD
  • NPI Number: 1477053577
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2223938
LAB Type Pharmacy
Facility Name THRIFTY WHITE PHARMACY #791
Street 111 N MAIN AVE, PO BOX 460
City BAUDETTE
State MN
ZIP 56623
Phone 2186341236
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2025
Certificate Expiration Date 3/20/2027
Facility Type Pharmacy
Lab Director JANAYA L. WOOD

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This page was last updated on: 5/18/2026