16D2086886 CLIA NUMBER - REBARCAK CHIROPRACTIC PAIN RELIEF CENTER

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Laboratory Demographics

CLIA Number: 16D2086886

Facility Name: REBARCAK CHIROPRACTIC PAIN RELIEF CENTER

Facility Address:
205 CLARK AVENUE
AMES, IA
ZIP 50010
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Facility Phone Number: 515 233-2263

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1801982178

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	16D2086886
LAB Type	Practitioner Other
Facility Name	REBARCAK CHIROPRACTIC PAIN RELIEF CENTER
Street	205 CLARK AVENUE
City	AMES
State	IA
ZIP	50010
Phone	515 233-2263
CertificateType	4
CertificateEffectiveDate	11/13/2022
CertificateExpirationDate	11/12/2024
FacilityType	Waiver

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