24D2075003 CLIA NUMBER - HANSON CHIROPRACTIC CLINIC, PA

Laboratory Demographics

  • CLIA Code: 24D2075003
  • Facility Name: HANSON CHIROPRACTIC CLINIC, PA
  • Facility Address: 306 NORTH MILL STREET
    FERTILE, MN
    ZIP 56540
  • Facility Phone: 218 945-3220
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DENNIS D. HANSON
  • NPI Number: 1477589141
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 24D2075003
LAB Type Physician Office
Facility Name HANSON CHIROPRACTIC CLINIC, PA
Street 306 NORTH MILL STREET
City FERTILE
State MN
ZIP 56540
Phone 218 945-3220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2024
Certificate Expiration Date 3/19/2026
Facility Type Physician Office
Lab Director DENNIS D. HANSON

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