14D2129141 CLIA NUMBER - CARSON CHIROPRACTIC

Laboratory Demographics

  • CLIA Code: 14D2129141
  • Facility Name: CARSON CHIROPRACTIC
  • Facility Address: 4541 RT 71
    OSWEGO, IL
    ZIP 60543
  • Facility Phone: 630 551-1003
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERIC CARSON
  • NPI Number: 1821026717
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 14D2129141
LAB Type Physician Office
Facility Name CARSON CHIROPRACTIC
Street 4541 RT 71
City OSWEGO
State IL
ZIP 60543
Phone 630 551-1003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type Physician Office
Lab Director ERIC CARSON

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