23D2125918 CLIA NUMBER - NORTH BRIDGE CHIROPRACTIC & INTEGRATED WELLNESS

Laboratory Demographics

  • CLIA Code: 23D2125918
  • Facility Name: NORTH BRIDGE CHIROPRACTIC & INTEGRATED WELLNESS
  • Facility Address: 42000 SIX MILE ROAD SUITE 230
    NORTHVILLE, MI
    ZIP 48168
  • Facility Phone: 248 924-2413
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ELLEN M. LAZAR
  • NPI Number: 1164869228
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 23D2125918
LAB Type Practitioner Other
Facility Name NORTH BRIDGE CHIROPRACTIC & INTEGRATED WELLNESS
Street 42000 SIX MILE ROAD SUITE 230
City NORTHVILLE
State MI
ZIP 48168
Phone 248 924-2413
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2025
Certificate Expiration Date 2/14/2027
Facility Type Practitioner Other
Lab Director ELLEN M. LAZAR

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