24D2045898 CLIA NUMBER - ROBERT C SLATER DC DBA HEALING HANDS WELLNESS CENTER

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Laboratory Demographics

CLIA Number: 24D2045898

Facility Name: ROBERT C SLATER DC DBA HEALING HANDS WELLNESS CENTER

Facility Address:
1028 CONCORDIA AVE
SAINT PAUL, MN
ZIP 55104
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Facility Phone Number: 952 217-9587

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1699844142

Taxonomy: 111N00000X - Chiropractor
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

CLIA Record

Field Name	Field Value
CLIA Number	24D2045898
LAB Type	Practitioner Other
Facility Name	ROBERT C SLATER DC DBA HEALING HANDS WELLNESS CENTER
Street	1028 CONCORDIA AVE
City	SAINT PAUL
State	MN
ZIP	55104
Phone	952 217-9587
CertificateType	4
CertificateEffectiveDate	8/22/2022
CertificateExpirationDate	8/21/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024