24D2059921 CLIA NUMBER - S SJOBERG PLC

Laboratory Demographics

  • CLIA Code: 24D2059921
  • Facility Name: S SJOBERG PLC
  • Facility Address: 7636 DESIGN ROAD SUITE 105
    BAXTER, MN
    ZIP 56425
  • Facility Phone: 218 825-1976
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STACY A. SJOBERG
  • NPI Number: 1477961019
  • Taxonomy: 207W00000X - Ophthalmology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2059921
LAB Type Physician Office
Facility Name S SJOBERG PLC
Street 7636 DESIGN ROAD SUITE 105
City BAXTER
State MN
ZIP 56425
Phone 218 825-1976
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2025
Certificate Expiration Date 6/2/2027
Facility Type Physician Office
Lab Director STACY A. SJOBERG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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