24D0907481 CLIA NUMBER - NORTHSIDE CHIROPRACTIC CLINIC

Laboratory Demographics

  • CLIA Code: 24D0907481
  • Facility Name: NORTHSIDE CHIROPRACTIC CLINIC
  • Facility Address: 3107 PENN AVE N
    MINNEAPOLIS, MN
    ZIP 55411
  • Facility Phone: 612 522-0440
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: GREG T. OLSON, DC
  • NPI Number: 1689017097
  • Taxonomy: 111NI0013X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 24D0907481
LAB Type Practitioner Other
Facility Name NORTHSIDE CHIROPRACTIC CLINIC
Street 3107 PENN AVE N
City MINNEAPOLIS
State MN
ZIP 55411
Phone 612 522-0440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2025
Certificate Expiration Date 10/15/2027
Facility Type Practitioner Other
Lab Director GREG T. OLSON, DC

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