22D2192214 CLIA NUMBER - MADDALO CHIROPRACTIC

Laboratory Demographics

  • CLIA Code: 22D2192214
  • Facility Name: MADDALO CHIROPRACTIC
  • Facility Address: 259 CAMBRIDGE ST
    CAMBRIDGE, MA
    ZIP 02141
  • Facility Phone: 617 547-4444
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: CANDACE M. MADDALO
  • NPI Number: 1295929081
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 22D2192214
LAB Type Practitioner Other
Facility Name MADDALO CHIROPRACTIC
Street 259 CAMBRIDGE ST
City CAMBRIDGE
State MA
ZIP 02141
Phone 617 547-4444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2024
Certificate Expiration Date 9/7/2026
Facility Type Practitioner Other
Lab Director CANDACE M. MADDALO

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