16D1068078 CLIA NUMBER - 1ST AVENUE CHIROPRACTIC, PC

Laboratory Demographics

  • CLIA Code: 16D1068078
  • Facility Name: 1ST AVENUE CHIROPRACTIC, PC
  • Facility Address: 611 FIRST AVENUE N, PO BOX 56
    HUMBOLDT, IA
    ZIP 50548
  • Facility Phone: 515 332-5414
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MICHAEL E. CROWLEY, DC
  • NPI Number: 1366654543
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D1068078
LAB Type Practitioner Other
Facility Name 1ST AVENUE CHIROPRACTIC, PC
Street 611 FIRST AVENUE N, PO BOX 56
City HUMBOLDT
State IA
ZIP 50548
Phone 515 332-5414
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2025
Certificate Expiration Date 5/1/2027
Facility Type Practitioner Other
Lab Director MICHAEL E. CROWLEY, DC

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