14D2265233 CLIA NUMBER - BERGBOWER CHIROPRACTIC LLC

Laboratory Demographics

  • CLIA Code: 14D2265233
  • Facility Name: BERGBOWER CHIROPRACTIC LLC
  • Facility Address: 100 W CUMBERLAND ST
    GREENUP, IL
    ZIP 62428
  • Facility Phone: 217 923-0100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KYLE E. BERGBOWER
  • NPI Number: 1639521479
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 14D2265233
LAB Type Physician Office
Facility Name BERGBOWER CHIROPRACTIC LLC
Street 100 W CUMBERLAND ST
City GREENUP
State IL
ZIP 62428
Phone 217 923-0100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2024
Certificate Expiration Date 7/25/2026
Facility Type Physician Office
Lab Director KYLE E. BERGBOWER

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