24D2184159 CLIA NUMBER - SANFORD CANBY HOME CARE

Laboratory Demographics

  • CLIA Code: 24D2184159
  • Facility Name: SANFORD CANBY HOME CARE
  • Facility Address: 213 ST OLAF AVE N STE 13
    CANBY, MN
    ZIP 56220
  • Facility Phone: 507 223-7277
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JENNIE WIGEN
  • NPI Number: 1245305697
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2184159
LAB Type Home Health Agency
Facility Name SANFORD CANBY HOME CARE
Street 213 ST OLAF AVE N STE 13
City CANBY
State MN
ZIP 56220
Phone 507 223-7277
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2024
Certificate Expiration Date 5/14/2026
Facility Type Home Health Agency
Lab Director JENNIE WIGEN

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