16D2042879 CLIA NUMBER - ALTERNATIVE WELLNESS AND CHIROPRACTIC CENTER

Laboratory Demographics

  • CLIA Code: 16D2042879
  • Facility Name: ALTERNATIVE WELLNESS AND CHIROPRACTIC CENTER
  • Facility Address: 1721 N 2ND STREET
    CLINTON, IA
    ZIP 52732
  • Facility Phone: 563 242-5515
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KENNETH D. WOMBOLDT
  • NPI Number: 1750634481
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 16D2042879
LAB Type Practitioner Other
Facility Name ALTERNATIVE WELLNESS AND CHIROPRACTIC CENTER
Street 1721 N 2ND STREET
City CLINTON
State IA
ZIP 52732
Phone 563 242-5515
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2024
Certificate Expiration Date 6/20/2026
Facility Type Practitioner Other
Lab Director KENNETH D. WOMBOLDT

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