24D2185704 CLIA NUMBER - ALEXANDRIA NATURAL HEALTH CENTER

Laboratory Demographics

CLIA Number: 24D2185704

Facility Name: ALEXANDRIA NATURAL HEALTH CENTER

Facility Address:
1413 BROADWAY ST
ALEXANDRIA, MN
ZIP 56308
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Facility Phone Number: 320 763-6533

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1134393614

Taxonomy: 111N00000X - Chiropractor
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

CLIA Record

Field Name	Field Value
CLIA Number	24D2185704
LAB Type	Physician Office
Facility Name	ALEXANDRIA NATURAL HEALTH CENTER
Street	1413 BROADWAY ST
City	ALEXANDRIA
State	MN
ZIP	56308
Phone	320 763-6533
CertificateType	4
CertificateEffectiveDate	6/8/2022
CertificateExpirationDate	6/7/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024