24D2235752 CLIA NUMBER - ST CHARLES PUBLIC SCHOOLS

Laboratory Demographics

CLIA Number: 24D2235752

Facility Name: ST CHARLES PUBLIC SCHOOLS

Facility Address:
925 CHURCH AVENUE
SAINT CHARLES, MN
ZIP 55972
Get Directions

Facility Phone Number: 507 932-4910

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1982873337

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	24D2235752
LAB Type	School/Student Health Service
Facility Name	ST CHARLES PUBLIC SCHOOLS
Street	925 CHURCH AVENUE
City	SAINT CHARLES
State	MN
ZIP	55972
Phone	507 932-4910
CertificateType	4
CertificateEffectiveDate	9/11/2023
CertificateExpirationDate	9/10/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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