24D0863103 CLIA NUMBER - GRUNST CHIROPRACIC CLINIC

Laboratory Demographics

  • CLIA Code: 24D0863103
  • Facility Name: GRUNST CHIROPRACIC CLINIC
  • Facility Address: 10 BRYANT AVE SE
    WADENA, MN
    ZIP 56482
  • Facility Phone: 218 631-3382
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: SHEILA M. GRUNST
  • NPI Number: 1073646121
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 24D0863103
LAB Type Practitioner Other
Facility Name GRUNST CHIROPRACIC CLINIC
Street 10 BRYANT AVE SE
City WADENA
State MN
ZIP 56482
Phone 218 631-3382
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Practitioner Other
Lab Director SHEILA M. GRUNST

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