CLIA lab
CLIA 24D2054828: Thrifty White Pharmacy #754
Moose Lake, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2054828 belongs to Thrifty White Pharmacy #754 in Moose Lake, MN.
Certificate of Waiver, effective February 28, 2025, expires February 27, 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
- February 28, 2025
- Certificate expiration
- February 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 28, 2013
- 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
- 24D2054828
- Lab name
- Thrifty White Pharmacy #754
- Address
- 60 Arrowhead Lane, Moose Lake, MN 55767
- Phone
- (218) 485-4401
- Fax
- (218) 485-8774
Annual test volume the lab reported
- Waived tests
- 52
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Moose Lake, MN
- Aspirus ST Luke's Diagnostic Imaging Moose LakeCertificate of Waiver, Other24D2288457
- Augustana Mercy Care CenterCertificate of Waiver, Skilled nursing or nursing facility24D2008435
- Essentia Health Moose LakeCertificate of Accreditation, Hospital24D0651464
- Gateway Family Health Clinic, LTDCertificate of Accreditation, Physician office24D0403786
- Kenwood PlaceCertificate of Waiver, Skilled nursing or nursing facility24D2007522
- Minnesota Correctional FacilityCertificate of Waiver, Ambulance24D1002313
- Minnesota Sex Offender ProgramCertificate of Waiver, Other24D0975545
- Moose Lake Community SchoolCertificate of Waiver, School or student health service24D2241825
- Moose Lake Eye CareCertificate of Waiver, Physician office24D2093833
- Northern Lakes Surgery Center LLCCertificate of Waiver, Ambulatory surgery center24D2264643
Related
Questions
What is the CLIA number for Thrifty White Pharmacy #754 in Moose Lake?
24D2054828, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Thrifty White Pharmacy #754 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2054828 expire?
The CMS file lists February 27, 2027 as the certificate expiration date; the certificate took effect February 28, 2025.