16D2126782 CLIA NUMBER - UTECH INTEGRATIVE HEALTH, PC

Laboratory Demographics

CLIA Number: 16D2126782

Facility Name: UTECH INTEGRATIVE HEALTH, PC

Facility Address:
629 WEST ST S, STE 300
GRINNELL, IA
ZIP 50112
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Facility Phone Number: 641 236-8000

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1154863017

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	16D2126782
LAB Type	Physician Office
Facility Name	UTECH INTEGRATIVE HEALTH, PC
Street	629 WEST ST S, STE 300
City	GRINNELL
State	IA
ZIP	50112
Phone	641 236-8000
CertificateType	4
CertificateEffectiveDate	3/6/2023
CertificateExpirationDate	3/5/2025
FacilityType	Waiver

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