16D0687743 CLIA NUMBER - SANFORD CLINIC SANBORN

Laboratory Demographics

  • CLIA Code: 16D0687743
  • Facility Name: SANFORD CLINIC SANBORN
  • Facility Address: 313 MAIN STREET
    SANBORN, IA
    ZIP 51248
  • Facility Phone: 712 729-3545
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOTT LICHTY
  • NPI Number: 1144302191
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D0687743
LAB Type Physician Office
Facility Name SANFORD CLINIC SANBORN
Street 313 MAIN STREET
City SANBORN
State IA
ZIP 51248
Phone 712 729-3545
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2025
Certificate Expiration Date 9/30/2027
Facility Type Physician Office
Lab Director SCOTT LICHTY

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This page was last updated on: 9/29/2025