24D0405317 CLIA NUMBER - SANFORD TRACY MEDICAL CENTER

Laboratory Demographics

CLIA Number: 24D0405317

Facility Name: SANFORD TRACY MEDICAL CENTER

Facility Address:
251 5TH ST E
TRACY, MN
ZIP 56175
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Facility Phone Number: 507 629-8360

Facility Type: Hospital

Certificate Type: Certificate of Compliance

NPI Number: 1881622330

Taxonomy: 282NC0060X - General Acute Care Hospital

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
CertificateType 2
CertificateEffectiveDate 12/6/2022
CertificateExpirationDate 12/5/2024
FacilityType Compliance

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This page was last updated on: 4/23/2024