24D1048712 CLIA NUMBER - SANFORD CLINIC JACKSON

Laboratory Demographics

  • CLIA Code: 24D1048712
  • Facility Name: SANFORD CLINIC JACKSON
  • Facility Address: 1430 NORTH HIGHWAY
    JACKSON, MN
    ZIP 56143
  • Facility Phone: 507 847-2200
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: KRIS SCHNEEKLOTH,
  • NPI Number: 1083638357
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D1048712
LAB Type Rural Health Clinic
Facility Name SANFORD CLINIC JACKSON
Street 1430 NORTH HIGHWAY
City JACKSON
State MN
ZIP 56143
Phone 507 847-2200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2023
Certificate Expiration Date 12/7/2025
Facility Type Rural Health Clinic
Lab Director KRIS SCHNEEKLOTH,

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