07D2016669 CLIA NUMBER - SIMSBURY FAMILY CHIROPRACTIC CENTER

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Laboratory Demographics

CLIA Number: 07D2016669

Facility Name: SIMSBURY FAMILY CHIROPRACTIC CENTER

Facility Address:
540 HOPMEADOW STREET
SIMBURY, CT
ZIP 06070
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Facility Phone Number: 860 651-3355

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1831125475

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	07D2016669
LAB Type	Practitioner Other
Facility Name	SIMSBURY FAMILY CHIROPRACTIC CENTER
Street	540 HOPMEADOW STREET
City	SIMBURY
State	CT
ZIP	06070
Phone	860 651-3355
CertificateType	4
CertificateEffectiveDate	11/22/2022
CertificateExpirationDate	11/21/2024
FacilityType	Waiver

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