16D1002370 CLIA NUMBER - WATERLOO OPC

Laboratory Demographics

CLIA Number: 16D1002370

Facility Name: WATERLOO OPC

Facility Address:
4000 UNIVERSITY AVE STE 100
WATERLOO, IA
ZIP 50701
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Facility Phone Number: 319 272-2424

Facility Type: Community Clinic

Certificate Type: Accreditation

NPI Number: 1225669302

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	16D1002370
LAB Type	Community Clinic
Facility Name	WATERLOO OPC
Street	4000 UNIVERSITY AVE STE 100
City	WATERLOO
State	IA
ZIP	50701
Phone	319 272-2424
CertificateType	1
CertificateEffectiveDate	8/6/2002
CertificateExpirationDate	5/22/2026
FacilityType	Accreditation

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