16D1090654 CLIA NUMBER - SANFORD CLINIC BOYDEN

Laboratory Demographics

  • CLIA Code: 16D1090654
  • Facility Name: SANFORD CLINIC BOYDEN
  • Facility Address: 3971 320TH STREET, PO BOX 418
    BOYDEN, IA
    ZIP 51234
  • Facility Phone: 712 324-2702
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: SCOTT LICHTY
  • NPI Number: 1679726111
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 16D1090654
LAB Type Community Clinic
Facility Name SANFORD CLINIC BOYDEN
Street 3971 320TH STREET, PO BOX 418
City BOYDEN
State IA
ZIP 51234
Phone 712 324-2702
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2025
Certificate Expiration Date 9/3/2027
Facility Type Community Clinic
Lab Director SCOTT LICHTY

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