18D2075601 CLIA NUMBER - CAMPBELLSBURG CHIROPRACTIC

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Laboratory Demographics

CLIA Number: 18D2075601

Facility Name: CAMPBELLSBURG CHIROPRACTIC

Facility Address:
8172 MAIN STREET
CAMPBELLSBURG, KY
ZIP 40011
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Facility Phone Number: 502 532-0099

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1699980383

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	18D2075601
LAB Type	Physician Office
Facility Name	CAMPBELLSBURG CHIROPRACTIC
Street	8172 MAIN STREET
City	CAMPBELLSBURG
State	KY
ZIP	40011
Phone	502 532-0099
CertificateType	4
CertificateEffectiveDate	4/1/2024
CertificateExpirationDate	3/31/2026
FacilityType	Waiver

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