24D0405847 CLIA NUMBER - SANFORD HEALTH ALEXANDRIA BROADWAY CLINIC

Laboratory Demographics

  • CLIA Code: 24D0405847
  • Facility Name: SANFORD HEALTH ALEXANDRIA BROADWAY CLINIC
  • Facility Address: 1527 BROADWAY ST 1ST FLOOR LABORATORY
    ALEXANDRIA, MN
    ZIP 56308
  • Facility Phone: 320 762-5790
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. ALEXEY HODKOFF
  • NPI Number: 1548532468
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 24D0405847
LAB Type Physician Office
Facility Name SANFORD HEALTH ALEXANDRIA BROADWAY CLINIC
Street 1527 BROADWAY ST 1ST FLOOR LABORATORY
City ALEXANDRIA
State MN
ZIP 56308
Phone 320 762-5790
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type Physician Office
Lab Director DR. ALEXEY HODKOFF

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