24D2087501 CLIA NUMBER - SANFORD HEALTH THIEF RIVER FALLS CLINIC

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Laboratory Demographics

CLIA Number: 24D2087501

Facility Name: SANFORD HEALTH THIEF RIVER FALLS CLINIC

Facility Address:
1720 HIGHWAY 59 SOUTH
THIEF RIVER FALLS, MN
ZIP 56701
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Facility Phone Number: 218 683-4733

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1912261058

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	24D2087501
LAB Type	Community Clinic
Facility Name	SANFORD HEALTH THIEF RIVER FALLS CLINIC
Street	1720 HIGHWAY 59 SOUTH
City	THIEF RIVER FALLS
State	MN
ZIP	56701
Phone	218 683-4733
CertificateType	4
CertificateEffectiveDate	10/2/2022
CertificateExpirationDate	10/1/2024
FacilityType	Waiver

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