24D2071220 CLIA NUMBER - EAGLE VALLEY CHIROPRACTIC

Laboratory Demographics

  • CLIA Code: 24D2071220
  • Facility Name: EAGLE VALLEY CHIROPRACTIC
  • Facility Address: 131 W MAIN ST
    WABASHA, MN
    ZIP 55981
  • Facility Phone: 651 565-4863
  • Facility Type: Other - CHIROPRACTIC CLINIC
  • Facility Type: Waiver
  • Lab Director: DENAY KELLY
  • NPI Number: 1699054213
  • Taxonomy: 305S00000X - Point of Service

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CLIA Record

Field Name Field Value
CLIA Number 24D2071220
LAB Type Other - CHIROPRACTIC CLINIC
Facility Name EAGLE VALLEY CHIROPRACTIC
Street 131 W MAIN ST
City WABASHA
State MN
ZIP 55981
Phone 651 565-4863
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2024
Certificate Expiration Date 1/6/2026
Facility Type Other - CHIROPRACTIC CLINIC
Lab Director DENAY KELLY

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