24D0405317 CLIA NUMBER - SANFORD TRACY MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 24D0405317
  • Facility Name: SANFORD TRACY MEDICAL CENTER
  • Facility Address: 251 5TH ST E
    TRACY, MN
    ZIP 56175
  • Facility Phone: 507 629-8360
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: ALI D. JASSIM
  • NPI Number: 1881622330
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 24D0405317
LAB Type Hospital
Facility Name SANFORD TRACY MEDICAL CENTER
Street 251 5TH ST E
City TRACY
State MN
ZIP 56175
Phone 507 629-8360
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/6/2024
Certificate Expiration Date 12/5/2026
Facility Type Hospital
Lab Director ALI D. JASSIM

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