13D1024057 CLIA NUMBER - HEALTHY FAMILY CHIROPRACTIC

Laboratory Demographics

CLIA Number: 13D1024057

Facility Name: HEALTHY FAMILY CHIROPRACTIC

Facility Address:
107 14TH AVENUE SOUTH
NAMPA, ID
ZIP 83651
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Facility Phone Number: 208 466-2536

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1679637938

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	13D1024057
LAB Type	Practitioner Other
Facility Name	HEALTHY FAMILY CHIROPRACTIC
Street	107 14TH AVENUE SOUTH
City	NAMPA
State	ID
ZIP	83651
Phone	208 466-2536
CertificateType	4
CertificateEffectiveDate	4/1/2024
CertificateExpirationDate	3/31/2026
FacilityType	Waiver

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