16D2058000 CLIA NUMBER - ELITE HEALTH AND WELLNESS, PC

Laboratory Demographics

  • CLIA Code: 16D2058000
  • Facility Name: ELITE HEALTH AND WELLNESS, PC
  • Facility Address: 2220 33RD STREET, STE A
    SPIRIT LAKE, IA
    ZIP 51360
  • Facility Phone: 712 336-4848
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MARK D. MAEYAERT
  • NPI Number: 1538501366
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 16D2058000
LAB Type Practitioner Other
Facility Name ELITE HEALTH AND WELLNESS, PC
Street 2220 33RD STREET, STE A
City SPIRIT LAKE
State IA
ZIP 51360
Phone 712 336-4848
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2025
Certificate Expiration Date 4/25/2027
Facility Type Practitioner Other
Lab Director MARK D. MAEYAERT

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