16D2092897 CLIA NUMBER - ACTIVE HEALTH CLINICS

Laboratory Demographics

  • CLIA Code: 16D2092897
  • Facility Name: ACTIVE HEALTH CLINICS
  • Facility Address: 20 NORTH 29TH ST
    FORT DODGE, IA
    ZIP 50501
  • Facility Phone: 515 227-7491
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: RACHEL F. PEDERSON
  • NPI Number: 1376800516
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 16D2092897
LAB Type Practitioner Other
Facility Name ACTIVE HEALTH CLINICS
Street 20 NORTH 29TH ST
City FORT DODGE
State IA
ZIP 50501
Phone 515 227-7491
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2025
Certificate Expiration Date 3/15/2027
Facility Type Practitioner Other
Lab Director RACHEL F. PEDERSON

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