24D2124482 CLIA NUMBER - MARTY CHIROPRACTIC & WELLNESS

Laboratory Demographics

  • CLIA Code: 24D2124482
  • Facility Name: MARTY CHIROPRACTIC & WELLNESS
  • Facility Address: 18476 KENRICK AVE SUITE 201
    LAKEVILLE, MN
    ZIP 55044
  • Facility Phone: 612 440-5776
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSHUA S. MARTY
  • NPI Number: 1043761133
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 24D2124482
LAB Type Physician Office
Facility Name MARTY CHIROPRACTIC & WELLNESS
Street 18476 KENRICK AVE SUITE 201
City LAKEVILLE
State MN
ZIP 55044
Phone 612 440-5776
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2025
Certificate Expiration Date 1/17/2027
Facility Type Physician Office
Lab Director JOSHUA S. MARTY

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