24D0405261 CLIA NUMBER - SANFORD LUVERNE CLINIC

Laboratory Demographics

  • CLIA Code: 24D0405261
  • Facility Name: SANFORD LUVERNE CLINIC
  • Facility Address: 1601 SIOUX VALLEY DRIVE
    LUVERNE, MN
    ZIP 56156
  • Facility Phone: 507 283-4476
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHAN L. CHESLEY
  • NPI Number: 1174554760
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 24D0405261
LAB Type Physician Office
Facility Name SANFORD LUVERNE CLINIC
Street 1601 SIOUX VALLEY DRIVE
City LUVERNE
State MN
ZIP 56156
Phone 507 283-4476
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2024
Certificate Expiration Date 10/7/2026
Facility Type Physician Office
Lab Director STEPHAN L. CHESLEY

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