16D0865801 CLIA NUMBER - SOPPE CHIROPRACTIC CLINIC INC

Laboratory Demographics

CLIA Number: 16D0865801

Facility Name: SOPPE CHIROPRACTIC CLINIC INC

Facility Address:
1420 HIGHWAY 71 NORTH
CARROLL, IA
ZIP 51401
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Facility Phone Number: 712 792-6026

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1801818869

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	16D0865801
LAB Type	Physician Office
Facility Name	SOPPE CHIROPRACTIC CLINIC INC
Street	1420 HIGHWAY 71 NORTH
City	CARROLL
State	IA
ZIP	51401
Phone	712 792-6026
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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