10D2056057 CLIA NUMBER - MCCLELLAN CHIROPRACTIC CENTER

Laboratory Demographics

  • CLIA Code: 10D2056057
  • Facility Name: MCCLELLAN CHIROPRACTIC CENTER
  • Facility Address: 17390 MAIN ST N
    BLOUNTSTOWN, FL
    ZIP 32424
  • Facility Phone: 850 674-2555
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM T. MCCLELLAN
  • NPI Number: 1346518602
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 10D2056057
LAB Type Physician Office
Facility Name MCCLELLAN CHIROPRACTIC CENTER
Street 17390 MAIN ST N
City BLOUNTSTOWN
State FL
ZIP 32424
Phone 850 674-2555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2025
Certificate Expiration Date 3/20/2027
Facility Type Physician Office
Lab Director WILLIAM T. MCCLELLAN

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