16D0385414 CLIA NUMBER - SANFORD HEALTH ROCK RAPIDS CLINIC

Laboratory Demographics

CLIA Number: 16D0385414

Facility Name: SANFORD HEALTH ROCK RAPIDS CLINIC

Facility Address:
104 BUNCOMBE DRIVE
ROCK RAPIDS, IA
ZIP 51246
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Facility Phone Number: 712 472-3333

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1245300557

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	16D0385414
LAB Type	Physician Office
Facility Name	SANFORD HEALTH ROCK RAPIDS CLINIC
Street	104 BUNCOMBE DRIVE
City	ROCK RAPIDS
State	IA
ZIP	51246
Phone	712 472-3333
CertificateType	2
CertificateEffectiveDate	8/11/2022
CertificateExpirationDate	8/10/2024
FacilityType	Compliance

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This page was last updated on: 4/23/2024