17D2302488 CLIA NUMBER - GONZALEZ CHIROPRACTIC

Laboratory Demographics

  • CLIA Code: 17D2302488
  • Facility Name: GONZALEZ CHIROPRACTIC
  • Facility Address: 12480 W 62ND TERR STE 103
    SHAWNEE, KS
    ZIP 66216
  • Facility Phone: 913 962-4500
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ALEJANDRO GONZALEZ
  • NPI Number: 1144667569
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 17D2302488
LAB Type Practitioner Other
Facility Name GONZALEZ CHIROPRACTIC
Street 12480 W 62ND TERR STE 103
City SHAWNEE
State KS
ZIP 66216
Phone 913 962-4500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2024
Certificate Expiration Date 4/9/2026
Facility Type Practitioner Other
Lab Director ALEJANDRO GONZALEZ

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