24D0405316 CLIA NUMBER - SANFORD CLINIC TRACY

Laboratory Demographics

  • CLIA Code: 24D0405316
  • Facility Name: SANFORD CLINIC TRACY
  • Facility Address: 249 5TH STREET EAST
    TRACY, MN
    ZIP 56175
  • Facility Phone: 507 629-3520
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: SARA ZOELLE
  • NPI Number: 1699869875
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D0405316
LAB Type Rural Health Clinic
Facility Name SANFORD CLINIC TRACY
Street 249 5TH STREET EAST
City TRACY
State MN
ZIP 56175
Phone 507 629-3520
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Rural Health Clinic
Lab Director SARA ZOELLE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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