52D1085170 CLIA NUMBER - SPARTA CHIROPRACTIC CLINIC LLC

Laboratory Demographics

  • CLIA Code: 52D1085170
  • Facility Name: SPARTA CHIROPRACTIC CLINIC LLC
  • Facility Address: 110 W WISCONSIN ST
    SPARTA, WI
    ZIP 54656
  • Facility Phone: 608 269-1451
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: CINDY L. PUENT, DC
  • NPI Number: 1578747473
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 52D1085170
LAB Type Practitioner Other
Facility Name SPARTA CHIROPRACTIC CLINIC LLC
Street 110 W WISCONSIN ST
City SPARTA
State WI
ZIP 54656
Phone 608 269-1451
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2024
Certificate Expiration Date 6/11/2026
Facility Type Practitioner Other
Lab Director CINDY L. PUENT, DC

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