24D2179401 CLIA NUMBER - BALANCED CHIROPRACTIC LLC

Laboratory Demographics

  • CLIA Code: 24D2179401
  • Facility Name: BALANCED CHIROPRACTIC LLC
  • Facility Address: 12805 HIGHWAY 55, SUITE 311
    PLYMOUTH, MN
    ZIP 55441
  • Facility Phone: 763 205-2191
  • Facility Type: Other - CHIROPRACTIC OFFICE
  • Facility Type: Waiver
  • Lab Director: JONATHAN MORRIS
  • NPI Number: 1003038464
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 24D2179401
LAB Type Other - CHIROPRACTIC OFFICE
Facility Name BALANCED CHIROPRACTIC LLC
Street 12805 HIGHWAY 55, SUITE 311
City PLYMOUTH
State MN
ZIP 55441
Phone 763 205-2191
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2024
Certificate Expiration Date 2/23/2026
Facility Type Other - CHIROPRACTIC OFFICE
Lab Director JONATHAN MORRIS

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