22D2075823 CLIA NUMBER - PACE FAMILY CHIROPRACTIC

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Laboratory Demographics

CLIA Number: 22D2075823

Facility Name: PACE FAMILY CHIROPRACTIC

Facility Address:
558 LINCOLN AVENUE
SAUGUS, MA
ZIP 01906
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Facility Phone Number: 781 231-3492

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1942481270

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	22D2075823
LAB Type	Physician Office
Facility Name	PACE FAMILY CHIROPRACTIC
Street	558 LINCOLN AVENUE
City	SAUGUS
State	MA
ZIP	01906
Phone	781 231-3492
CertificateType	4
CertificateEffectiveDate	4/7/2024
CertificateExpirationDate	4/6/2026
FacilityType	Waiver

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