07D2077458 CLIA NUMBER - HARTSBURG CHIROPRACTIC HEALTH CENTER, LLC

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Laboratory Demographics

CLIA Number: 07D2077458

Facility Name: HARTSBURG CHIROPRACTIC HEALTH CENTER, LLC

Facility Address:
40 LAKE AVE EXT
DANBURY, CT
ZIP 06811
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Facility Phone Number: 203 790-4600

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1891964862

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	07D2077458
LAB Type	Practitioner Other
Facility Name	HARTSBURG CHIROPRACTIC HEALTH CENTER, LLC
Street	40 LAKE AVE EXT
City	DANBURY
State	CT
ZIP	06811
Phone	203 790-4600
CertificateType	4
CertificateEffectiveDate	5/8/2024
CertificateExpirationDate	5/7/2026
FacilityType	Waiver

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