16D0385477 CLIA NUMBER - SPENCER CHIROPRACTIC AND WELLNESS CENTER, PC

Laboratory Demographics

  • CLIA Code: 16D0385477
  • Facility Name: SPENCER CHIROPRACTIC AND WELLNESS CENTER, PC
  • Facility Address: 1025 5TH AVENUE SE
    SPENCER, IA
    ZIP 51301
  • Facility Phone: 712 580-3294
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LEAH MALMSTROM
  • NPI Number: 1780015024
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 16D0385477
LAB Type Physician Office
Facility Name SPENCER CHIROPRACTIC AND WELLNESS CENTER, PC
Street 1025 5TH AVENUE SE
City SPENCER
State IA
ZIP 51301
Phone 712 580-3294
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director LEAH MALMSTROM

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