CLIA lab
CLIA 16D2089573: Thrifty White #077
Paullina, IA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 16D2089573 belongs to Thrifty White #077 in Paullina, IA.
Certificate of Waiver, effective January 5, 2025, expires January 4, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- January 5, 2025
- Certificate expiration
- January 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 5, 2015
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 16D2089573
- Lab name
- Thrifty White #077
- Address
- 127 N Main Street PO Box 517, Paullina, IA 51046
- Phone
- (712) 949-3490
- Fax
- (712) 448-2338
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Paullina, IA
Related
Questions
What is the CLIA number for Thrifty White #077 in Paullina?
16D2089573, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Thrifty White #077 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 16D2089573 expire?
The CMS file lists January 4, 2027 as the certificate expiration date; the certificate took effect January 5, 2025.