10D2059627 CLIA NUMBER - BELLEVIEW CHIROPRACTIC CLINIC

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Laboratory Demographics

CLIA Number: 10D2059627

Facility Name: BELLEVIEW CHIROPRACTIC CLINIC

Facility Address:
11730 SE HWY 441
BELLEVIEW, FL
ZIP 34420
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Facility Phone Number: 352 245-0145

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1942354360

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	10D2059627
LAB Type	Physician Office
Facility Name	BELLEVIEW CHIROPRACTIC CLINIC
Street	11730 SE HWY 441
City	BELLEVIEW
State	FL
ZIP	34420
Phone	352 245-0145
CertificateType	4
CertificateEffectiveDate	5/28/2023
CertificateExpirationDate	5/27/2025
FacilityType	Waiver

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