22D2067485 CLIA NUMBER - CHIROPRACTIC HEALTH CARE & PAIN MANAGEMENT CENTER

Laboratory Demographics

  • CLIA Code: 22D2067485
  • Facility Name: CHIROPRACTIC HEALTH CARE & PAIN MANAGEMENT CENTER
  • Facility Address: 1103 MAIN ST
    LEICESTER, MA
    ZIP 01524
  • Facility Phone: 508 892-8150
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: PETER J. ANTANAVICA
  • NPI Number: 1932980315
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 22D2067485
LAB Type Practitioner Other
Facility Name CHIROPRACTIC HEALTH CARE & PAIN MANAGEMENT CENTER
Street 1103 MAIN ST
City LEICESTER
State MA
ZIP 01524
Phone 508 892-8150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2025
Certificate Expiration Date 10/15/2027
Facility Type Practitioner Other
Lab Director PETER J. ANTANAVICA

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