24D2066802 CLIA NUMBER - GREAT NORTH CHIROPRACTIC

Laboratory Demographics

  • CLIA Code: 24D2066802
  • Facility Name: GREAT NORTH CHIROPRACTIC
  • Facility Address: 1632 BEMIDJI AVE NORTH SUITE 1
    BEMIDJI, MN
    ZIP 56601
  • Facility Phone: 218 444-9918
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: SEAN KOLODJI
  • NPI Number: 1538601778
  • Taxonomy: 101YP2500X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 24D2066802
LAB Type Practitioner Other
Facility Name GREAT NORTH CHIROPRACTIC
Street 1632 BEMIDJI AVE NORTH SUITE 1
City BEMIDJI
State MN
ZIP 56601
Phone 218 444-9918
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2025
Certificate Expiration Date 10/3/2027
Facility Type Practitioner Other
Lab Director SEAN KOLODJI

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