43D2076915 CLIA NUMBER - MADISON CHIROPRACTIC CENTER

Laboratory Demographics

  • CLIA Code: 43D2076915
  • Facility Name: MADISON CHIROPRACTIC CENTER
  • Facility Address: 732 S WASHINGTON AVENUE
    MADISON, SD
    ZIP 57042
  • Facility Phone: 605 256-0336
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JASON EVANS
  • NPI Number: 1619173523
  • Taxonomy: 171100000X - Acupuncturist

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CLIA Record

Field Name Field Value
CLIA Number 43D2076915
LAB Type Practitioner Other
Facility Name MADISON CHIROPRACTIC CENTER
Street 732 S WASHINGTON AVENUE
City MADISON
State SD
ZIP 57042
Phone 605 256-0336
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2024
Certificate Expiration Date 4/28/2026
Facility Type Practitioner Other
Lab Director JASON EVANS

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