06D1073214 CLIA NUMBER - ALTERNATIVE CHIROPRACTIC CENTER, PC

Laboratory Demographics

CLIA Number: 06D1073214

Facility Name: ALTERNATIVE CHIROPRACTIC CENTER, PC

Facility Address:
117 S 6TH AVE, UNIT 2
FRISCO, CO
ZIP 80443
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Facility Phone Number: 970 368-6173

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1669998480

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 06D1073214
LAB Type Practitioner Other
Facility Name ALTERNATIVE CHIROPRACTIC CENTER, PC
Street 117 S 6TH AVE, UNIT 2
City FRISCO
State CO
ZIP 80443
Phone 970 368-6173
CertificateType 4
CertificateEffectiveDate 9/5/2023
CertificateExpirationDate 9/4/2025
FacilityType Waiver

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