16D2257920 CLIA NUMBER - ADVANTAGE CHIROPRACTIC

Laboratory Demographics

  • CLIA Code: 16D2257920
  • Facility Name: ADVANTAGE CHIROPRACTIC
  • Facility Address: 5945 COUNCIL ST NE, STE B
    CEDAR RAPIDS, IA
    ZIP 52402
  • Facility Phone: 319 409-5941
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NOLAN P. KENNEDY
  • NPI Number: 1053060558
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 16D2257920
LAB Type Physician Office
Facility Name ADVANTAGE CHIROPRACTIC
Street 5945 COUNCIL ST NE, STE B
City CEDAR RAPIDS
State IA
ZIP 52402
Phone 319 409-5941
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2024
Certificate Expiration Date 4/12/2026
Facility Type Physician Office
Lab Director NOLAN P. KENNEDY

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