42D2295386 CLIA NUMBER - VITAL NUTRITION AND CHIROPRACTIC

Laboratory Demographics

  • CLIA Code: 42D2295386
  • Facility Name: VITAL NUTRITION AND CHIROPRACTIC
  • Facility Address: 809 S LAKE DRIVE
    LEXINGTON, SC
    ZIP 29072
  • Facility Phone: 803 399-8104
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: GEOFFREY KLAFFKA
  • NPI Number: 1508582628
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 42D2295386
LAB Type Practitioner Other
Facility Name VITAL NUTRITION AND CHIROPRACTIC
Street 809 S LAKE DRIVE
City LEXINGTON
State SC
ZIP 29072
Phone 803 399-8104
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2023
Certificate Expiration Date 12/10/2025
Facility Type Practitioner Other
Lab Director GEOFFREY KLAFFKA

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