24D2177271 CLIA NUMBER - NORTHWOOD CHIROPRACTIC & WELLNESS

Laboratory Demographics

  • CLIA Code: 24D2177271
  • Facility Name: NORTHWOOD CHIROPRACTIC & WELLNESS
  • Facility Address: 10900 89TH AVE N STE 1
    MAPLE GROVE, MN
    ZIP 55369
  • Facility Phone: 763 432-3932
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: GREG D. BEENKEN
  • NPI Number: 1760012454
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 24D2177271
LAB Type Practitioner Other
Facility Name NORTHWOOD CHIROPRACTIC & WELLNESS
Street 10900 89TH AVE N STE 1
City MAPLE GROVE
State MN
ZIP 55369
Phone 763 432-3932
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type Practitioner Other
Lab Director GREG D. BEENKEN

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