05D2016844 CLIA NUMBER - CHARLES MCCRORY, DC MD INC

Laboratory Demographics

  • CLIA Code: 05D2016844
  • Facility Name: CHARLES MCCRORY, DC MD INC
  • Facility Address: 300 HARDING BLVD STE 213
    ROSEVILLE, CA
    ZIP 95678
  • Facility Phone: 916 780-2800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLES MCCRORY
  • NPI Number: 1134211170
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 05D2016844
LAB Type Physician Office
Facility Name CHARLES MCCRORY, DC MD INC
Street 300 HARDING BLVD STE 213
City ROSEVILLE
State CA
ZIP 95678
Phone 916 780-2800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2024
Certificate Expiration Date 11/28/2026
Facility Type Physician Office
Lab Director CHARLES MCCRORY

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