16D2233209 CLIA NUMBER - GREATER LIFE CHIROPRACTIC

Laboratory Demographics

  • CLIA Code: 16D2233209
  • Facility Name: GREATER LIFE CHIROPRACTIC
  • Facility Address: 119 E LINCOLN WAY
    JEFFERSON, IA
    ZIP 50129
  • Facility Phone: 515 386-3446
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: PHILIP J. HEISTERKAMP
  • NPI Number: 1245760180
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 16D2233209
LAB Type Practitioner Other
Facility Name GREATER LIFE CHIROPRACTIC
Street 119 E LINCOLN WAY
City JEFFERSON
State IA
ZIP 50129
Phone 515 386-3446
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2025
Certificate Expiration Date 8/19/2027
Facility Type Practitioner Other
Lab Director PHILIP J. HEISTERKAMP

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