24D2237028 CLIA NUMBER - THRIFTY WHITE PHARMACY #794

Laboratory Demographics

  • CLIA Code: 24D2237028
  • Facility Name: THRIFTY WHITE PHARMACY #794
  • Facility Address: 1805 MINNESOTA AVENUE, SUITE 2
    BENSON, MN
    ZIP 56215
  • Facility Phone: 320 842-3221
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESS PULLIS
  • NPI Number: 1568035921
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2237028
LAB Type Pharmacy
Facility Name THRIFTY WHITE PHARMACY #794
Street 1805 MINNESOTA AVENUE, SUITE 2
City BENSON
State MN
ZIP 56215
Phone 320 842-3221
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2025
Certificate Expiration Date 9/21/2027
Facility Type Pharmacy
Lab Director JESS PULLIS

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