24D2057661 CLIA NUMBER - FAMILY CHIROPRACTIC CENTER

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Laboratory Demographics

CLIA Number: 24D2057661

Facility Name: FAMILY CHIROPRACTIC CENTER

Facility Address:
1013 3RD STREET NE
ROSEAU, MN
ZIP 56751
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Facility Phone Number: 218 463-3880

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1982886024

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	24D2057661
LAB Type	Practitioner Other
Facility Name	FAMILY CHIROPRACTIC CENTER
Street	1013 3RD STREET NE
City	ROSEAU
State	MN
ZIP	56751
Phone	218 463-3880
CertificateType	4
CertificateEffectiveDate	4/22/2023
CertificateExpirationDate	4/21/2025
FacilityType	Waiver

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