14D2312591 CLIA NUMBER - MICHELLE HIPPARD DC LTD

Laboratory Demographics

  • CLIA Code: 14D2312591
  • Facility Name: MICHELLE HIPPARD DC LTD
  • Facility Address: 124 W MAIN ST
    MASCOUTAH, IL
    ZIP 62258
  • Facility Phone: 618 566-4144
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHELLE R. HIPPARD
  • NPI Number: 1619375938
  • Taxonomy: 111N00000X - Chiropractor

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2312591
LAB Type Physician Office
Facility Name MICHELLE HIPPARD DC LTD
Street 124 W MAIN ST
City MASCOUTAH
State IL
ZIP 62258
Phone 618 566-4144
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2024
Certificate Expiration Date 10/14/2026
Facility Type Physician Office
Lab Director MICHELLE R. HIPPARD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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