24D0405336 CLIA NUMBER - SANFORD WESTBROOK MEDICAL CENTER

Laboratory Demographics

CLIA Number: 24D0405336

Facility Name: SANFORD WESTBROOK MEDICAL CENTER

Facility Address:
920 BELL AVENUE
WESTBROOK, MN
ZIP 56183
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Facility Phone Number: 507 274-1100

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1942253547

Taxonomy: 282NC0060X - General Acute Care Hospital

CLIA Record

Field Name	Field Value
CLIA Number	24D0405336
LAB Type	Rural Health Clinic
Facility Name	SANFORD WESTBROOK MEDICAL CENTER
Street	920 BELL AVENUE
City	WESTBROOK
State	MN
ZIP	56183
Phone	507 274-1100
CertificateType	4
CertificateEffectiveDate	8/15/2023
CertificateExpirationDate	8/14/2025
FacilityType	Waiver

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