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24D0405847 CLIA NUMBER - SANFORD HEALTH ALEXANDRIA BROADWAY CLINIC

Laboratory Demographics

CLIA Number: 24D0405847

Facility Name: SANFORD HEALTH ALEXANDRIA BROADWAY CLINIC

Facility Address:
1527 BROADWAY ST
ALEXANDRIA, MN
ZIP 56308
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Facility Phone Number: 320 762-0399

Facility Type: Community Clinic

Certificate Type: Accreditation
NPI Number: 1548532468

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 24D0405847
LAB Type Community Clinic
Facility Name SANFORD HEALTH ALEXANDRIA BROADWAY CLINIC
Street 1527 BROADWAY ST
City ALEXANDRIA
State MN
ZIP 56308
Phone 320 762-0399
CertificateType 1
CertificateEffectiveDate 8/10/2022
CertificateExpirationDate 8/9/2024
FacilityType Accreditation

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