10D2049589 CLIA NUMBER - COOPER CHIROPRACTIC CLINIC INC

Laboratory Demographics

  • CLIA Code: 10D2049589
  • Facility Name: COOPER CHIROPRACTIC CLINIC INC
  • Facility Address: 13159 E US HWY 27
    BRANFORD, FL
    ZIP 32008
  • Facility Phone: 386 935-1613
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NANCY L. COOPER
  • NPI Number: 1568657716
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 10D2049589
LAB Type Physician Office
Facility Name COOPER CHIROPRACTIC CLINIC INC
Street 13159 E US HWY 27
City BRANFORD
State FL
ZIP 32008
Phone 386 935-1613
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Physician Office
Lab Director NANCY L. COOPER

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