24D0651704 CLIA NUMBER - SANFORD HAWLEY CLINIC

Laboratory Demographics

  • CLIA Code: 24D0651704
  • Facility Name: SANFORD HAWLEY CLINIC
  • Facility Address: 1412 MAIN STREET
    HAWLEY, MN
    ZIP 56549
  • Facility Phone: 701 234-2481
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: THERESA JOHNK
  • NPI Number: 1710909304
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 24D0651704
LAB Type Community Clinic
Facility Name SANFORD HAWLEY CLINIC
Street 1412 MAIN STREET
City HAWLEY
State MN
ZIP 56549
Phone 701 234-2481
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type Community Clinic
Lab Director THERESA JOHNK

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