24D2238095 CLIA NUMBER - PELICAN DRUG, INC

Laboratory Demographics

  • CLIA Code: 24D2238095
  • Facility Name: PELICAN DRUG, INC
  • Facility Address: 11 NORTH BROADWAY
    PELICAN RAPIDS, MN
    ZIP 56572
  • Facility Phone: 218 863-1441
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DONALD G. PERRIN
  • NPI Number: 1306321773
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2238095
LAB Type Pharmacy
Facility Name PELICAN DRUG, INC
Street 11 NORTH BROADWAY
City PELICAN RAPIDS
State MN
ZIP 56572
Phone 218 863-1441
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2025
Certificate Expiration Date 9/29/2027
Facility Type Pharmacy
Lab Director DONALD G. PERRIN

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