01D2072679 CLIA NUMBER - HUNTSVILLE HEALTH CLINIC PHYSICIANS

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Laboratory Demographics

CLIA Number: 01D2072679

Facility Name: HUNTSVILLE HEALTH CLINIC PHYSICIANS

Facility Address:
1963 MEMORIAL PARKWAY SW SUITE 9B
HUNTSVILLE, AL
ZIP 35801
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Facility Phone Number: 256 265-0225

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1710354329

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	01D2072679
LAB Type	Physician Office
Facility Name	HUNTSVILLE HEALTH CLINIC PHYSICIANS
Street	1963 MEMORIAL PARKWAY SW SUITE 9B
City	HUNTSVILLE
State	AL
ZIP	35801
Phone	256 265-0225
CertificateType	4
CertificateEffectiveDate	2/4/2024
CertificateExpirationDate	2/3/2026
FacilityType	Waiver

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