24D0887975 CLIA NUMBER - WELLNESS & LONGEVITY CENTER

Laboratory Demographics

  • CLIA Code: 24D0887975
  • Facility Name: WELLNESS & LONGEVITY CENTER
  • Facility Address: C/O HALL FAMILY CHIROPRACTIC AND WELLNESS CENTER 13999 60TH STREET NORTH
    STILLWATER, MN
    ZIP 55082
  • Facility Phone: 651 439-1013
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: SANDRA L. SPORE
  • NPI Number: 1306941406
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 24D0887975
LAB Type Practitioner Other
Facility Name WELLNESS & LONGEVITY CENTER
Street C/O HALL FAMILY CHIROPRACTIC AND WELLNESS CENTER 13999 60TH STREET NORTH
City STILLWATER
State MN
ZIP 55082
Phone 651 439-1013
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2024
Certificate Expiration Date 6/20/2026
Facility Type Practitioner Other
Lab Director SANDRA L. SPORE

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