14D0985357 CLIA NUMBER - MULTI-CARE SPECIALIST SC

Laboratory Demographics

CLIA Number: 14D0985357

Facility Name: MULTI-CARE SPECIALIST SC

Facility Address:
3986 MARYVILLE RD
GRANITE CITY, IL
ZIP 62040
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Facility Phone Number: 618 797-0618

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1811087604

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	14D0985357
LAB Type	Physician Office
Facility Name	MULTI-CARE SPECIALIST SC
Street	3986 MARYVILLE RD
City	GRANITE CITY
State	IL
ZIP	62040
Phone	618 797-0618
CertificateType	4
CertificateEffectiveDate	4/16/2023
CertificateExpirationDate	4/15/2025
FacilityType	Waiver

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