16D2076407 CLIA NUMBER - REDENBAUGH CHIROPRACTIC

Laboratory Demographics

  • CLIA Code: 16D2076407
  • Facility Name: REDENBAUGH CHIROPRACTIC
  • Facility Address: 801 HUDSON STREET
    STORM LAKE, IA
    ZIP 50588
  • Facility Phone: 712 732-3349
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: TIMOTHY W. REDENBAUGH
  • NPI Number: 1356508394
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 16D2076407
LAB Type Practitioner Other
Facility Name REDENBAUGH CHIROPRACTIC
Street 801 HUDSON STREET
City STORM LAKE
State IA
ZIP 50588
Phone 712 732-3349
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2024
Certificate Expiration Date 4/16/2026
Facility Type Practitioner Other
Lab Director TIMOTHY W. REDENBAUGH

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