16D2311579 CLIA NUMBER - MITCHELLVILLE FAMILY CHIROPRACTIC

Laboratory Demographics

  • CLIA Code: 16D2311579
  • Facility Name: MITCHELLVILLE FAMILY CHIROPRACTIC
  • Facility Address: 301 CENTER AVE S
    MITCHELLVILLE, IA
    ZIP 50169
  • Facility Phone: 515 967-2700
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JASON P. MOONEY
  • NPI Number: 1972880698
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 16D2311579
LAB Type Practitioner Other
Facility Name MITCHELLVILLE FAMILY CHIROPRACTIC
Street 301 CENTER AVE S
City MITCHELLVILLE
State IA
ZIP 50169
Phone 515 967-2700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 9/23/2026
Facility Type Practitioner Other
Lab Director JASON P. MOONEY

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