16D2086466 CLIA NUMBER - SUMMIT CHIROPRACTIC AND PHYSICAL THERAPY JESUP

Laboratory Demographics

  • CLIA Code: 16D2086466
  • Facility Name: SUMMIT CHIROPRACTIC AND PHYSICAL THERAPY JESUP
  • Facility Address: 1104 220TH STREET
    JESUP, IA
    ZIP 50648
  • Facility Phone: 319 827-2223
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DR. ERIC M. ROTTINGHAUS
  • NPI Number: 1982968152
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 16D2086466
LAB Type Practitioner Other
Facility Name SUMMIT CHIROPRACTIC AND PHYSICAL THERAPY JESUP
Street 1104 220TH STREET
City JESUP
State IA
ZIP 50648
Phone 319 827-2223
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Practitioner Other
Lab Director DR. ERIC M. ROTTINGHAUS

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