10D1042389 CLIA NUMBER - MCGREGOR CLINIC INC, THE

Laboratory Demographics

CLIA Number: 10D1042389

Facility Name: MCGREGOR CLINIC INC, THE

Facility Address:
3487 BROADWAY AVE
FORT MYERS, FL
ZIP 33901
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Facility Phone Number: 239 334-9555

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Waiver

NPI Number: 1043495138

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	10D1042389
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	MCGREGOR CLINIC INC, THE
Street	3487 BROADWAY AVE
City	FORT MYERS
State	FL
ZIP	33901
Phone	239 334-9555
CertificateType	4
CertificateEffectiveDate	6/30/2023
CertificateExpirationDate	6/29/2025
FacilityType	Waiver

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