34D2176928 CLIA NUMBER - EDEN CHIROPRACTIC

Laboratory Demographics

  • CLIA Code: 34D2176928
  • Facility Name: EDEN CHIROPRACTIC
  • Facility Address: 405 BOONE ROAD
    EDEN, NC
    ZIP 27288
  • Facility Phone: 336 627-7398
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JOHN M. LESEUR
  • NPI Number: 1598965832
  • Taxonomy: 111NS0005X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 34D2176928
LAB Type Practitioner Other
Facility Name EDEN CHIROPRACTIC
Street 405 BOONE ROAD
City EDEN
State NC
ZIP 27288
Phone 336 627-7398
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2023
Certificate Expiration Date 12/29/2025
Facility Type Practitioner Other
Lab Director JOHN M. LESEUR

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