19D0463782 CLIA NUMBER - NORTH MARKET CHIROPRACTIC CLINIC

Laboratory Demographics

  • CLIA Code: 19D0463782
  • Facility Name: NORTH MARKET CHIROPRACTIC CLINIC
  • Facility Address: 1850 NELSON STREET SUITE D
    SHREVEPORT, LA
    ZIP 71107
  • Facility Phone: 318 222-6601
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MICHAEL W. TAYLOR
  • NPI Number: 1851047799
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 19D0463782
LAB Type Practitioner Other
Facility Name NORTH MARKET CHIROPRACTIC CLINIC
Street 1850 NELSON STREET SUITE D
City SHREVEPORT
State LA
ZIP 71107
Phone 318 222-6601
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Practitioner Other
Lab Director MICHAEL W. TAYLOR

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