24D2078990 CLIA NUMBER - AMBIENT CHIROPRACTIC

Laboratory Demographics

  • CLIA Code: 24D2078990
  • Facility Name: AMBIENT CHIROPRACTIC
  • Facility Address: 2302 EAST HIGHWAY 7
    MONTEVIDEO, MN
    ZIP 56265
  • Facility Phone: 320 269-5000
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: WANIQUE PETERSON
  • NPI Number: 1831132687
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 24D2078990
LAB Type Practitioner Other
Facility Name AMBIENT CHIROPRACTIC
Street 2302 EAST HIGHWAY 7
City MONTEVIDEO
State MN
ZIP 56265
Phone 320 269-5000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2024
Certificate Expiration Date 6/8/2026
Facility Type Practitioner Other
Lab Director WANIQUE PETERSON

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