05D2094587 CLIA NUMBER - CHIROPRACTIC HEALTH CENTER

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Laboratory Demographics

CLIA Number: 05D2094587

Facility Name: CHIROPRACTIC HEALTH CENTER

Facility Address:
1012 CARVER RD
MODESTO, CA
ZIP 95350
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Facility Phone Number: 209 549-2215

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1912123514

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	05D2094587
LAB Type	Practitioner Other
Facility Name	CHIROPRACTIC HEALTH CENTER
Street	1012 CARVER RD
City	MODESTO
State	CA
ZIP	95350
Phone	209 549-2215
CertificateType	4
CertificateEffectiveDate	4/21/2023
CertificateExpirationDate	4/20/2025
FacilityType	Waiver

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