35D2142590 CLIA NUMBER - WHITE DRUG #061

Laboratory Demographics

  • CLIA Code: 35D2142590
  • Facility Name: WHITE DRUG #061
  • Facility Address: 706 38TH ST NW, UNIT A
    FARGO, ND
    ZIP 58102
  • Facility Phone: 701 893-9050
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TANYA SCHMIDT
  • NPI Number: 1003906942
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 35D2142590
LAB Type Pharmacy
Facility Name WHITE DRUG #061
Street 706 38TH ST NW, UNIT A
City FARGO
State ND
ZIP 58102
Phone 701 893-9050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2024
Certificate Expiration Date 1/15/2026
Facility Type Pharmacy
Lab Director TANYA SCHMIDT

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This page was last updated on: 6/4/2025