06D2157433 CLIA NUMBER - PROFESSIONAL CHIROPRACTIC, LLC

Laboratory Demographics

  • CLIA Code: 06D2157433
  • Facility Name: PROFESSIONAL CHIROPRACTIC, LLC
  • Facility Address: 1919 65TH AVE, APT A
    GREELEY, CO
    ZIP 80634
  • Facility Phone: 970 353-5300
  • Facility Type: Other - CHIROPRACTIC
  • Facility Type: Waiver
  • Lab Director: TANNER C. JOHNSON
  • NPI Number: 1902075898
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 06D2157433
LAB Type Other - CHIROPRACTIC
Facility Name PROFESSIONAL CHIROPRACTIC, LLC
Street 1919 65TH AVE, APT A
City GREELEY
State CO
ZIP 80634
Phone 970 353-5300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2024
Certificate Expiration Date 11/5/2026
Facility Type Other - CHIROPRACTIC
Lab Director TANNER C. JOHNSON

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