CLIA lab

CLIA 24D2123027: Thrifty White Pharmacy #787

Annandale, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 24D2123027 belongs to Thrifty White Pharmacy #787 in Annandale, MN.

Certificate of Waiver, effective December 12, 2024, expires December 11, 2026.

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
December 12, 2024
Certificate expiration
December 11, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 12, 2016
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
24D2123027
Lab name
Thrifty White Pharmacy #787
Address
246 Elm Street West, Annandale, MN 55302
Phone
(320) 201-7949
Fax
(320) 274-6546

Annual test volume the lab reported

Waived tests
50

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Thrifty White Pharmacy #787 in Annandale?

24D2123027, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Thrifty White Pharmacy #787 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2123027 expire?

The CMS file lists December 11, 2026 as the certificate expiration date; the certificate took effect December 12, 2024.

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