05D2084948 CLIA NUMBER - HANNON CHIROPRACTIC

Laboratory Demographics

  • CLIA Code: 05D2084948
  • Facility Name: HANNON CHIROPRACTIC
  • Facility Address: 16808 MAIN ST STE B ,
    HESPERIA, CA
    ZIP 92345
  • Facility Phone: 760 949-0996
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: CLIVE B. HANNON, DC
  • NPI Number: 1750612289
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 05D2084948
LAB Type Practitioner Other
Facility Name HANNON CHIROPRACTIC
Street 16808 MAIN ST STE B ,
City HESPERIA
State CA
ZIP 92345
Phone 760 949-0996
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Practitioner Other
Lab Director CLIVE B. HANNON, DC

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