04D2155022 CLIA NUMBER - FAMILY CHIROPRACTIC CENTER

Laboratory Demographics

  • CLIA Code: 04D2155022
  • Facility Name: FAMILY CHIROPRACTIC CENTER
  • Facility Address: 212 S WASHINGTON
    MAGNOLIA, AR
    ZIP 71753
  • Facility Phone: 870 235-3100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JEFFREY E. LEWIS
  • NPI Number: 1639185481
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 04D2155022
LAB Type Physician Office
Facility Name FAMILY CHIROPRACTIC CENTER
Street 212 S WASHINGTON
City MAGNOLIA
State AR
ZIP 71753
Phone 870 235-3100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2024
Certificate Expiration Date 9/20/2026
Facility Type Physician Office
Lab Director DR. JEFFREY E. LEWIS

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