16D2103525 CLIA NUMBER - EMMETSBURG CHIROPRACTIC CLINIC

Laboratory Demographics

  • CLIA Code: 16D2103525
  • Facility Name: EMMETSBURG CHIROPRACTIC CLINIC
  • Facility Address: 2301 MAIN STREET
    EMMETSBURG, IA
    ZIP 50536
  • Facility Phone: 712 852-3773
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JAMES L. BIRD
  • NPI Number: 1104993328
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 16D2103525
LAB Type Practitioner Other
Facility Name EMMETSBURG CHIROPRACTIC CLINIC
Street 2301 MAIN STREET
City EMMETSBURG
State IA
ZIP 50536
Phone 712 852-3773
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2023
Certificate Expiration Date 10/13/2025
Facility Type Practitioner Other
Lab Director JAMES L. BIRD

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