23D2251907 CLIA NUMBER - BATH CITY CHIROPRACTIC CLINIC PLLC

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Laboratory Demographics

CLIA Number: 23D2251907

Facility Name: BATH CITY CHIROPRACTIC CLINIC PLLC

Facility Address:
21360 CASS AVENUE
CLINTON TOWNSHIP, MI
ZIP 48036
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Facility Phone Number: 586 468-6868

Facility Type: Other - INDEPENDENT CLINICAL LAB

Certificate Type: Waiver

NPI Number: 1699948919

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	23D2251907
LAB Type	Other - INDEPENDENT CLINICAL LAB
Facility Name	BATH CITY CHIROPRACTIC CLINIC PLLC
Street	21360 CASS AVENUE
City	CLINTON TOWNSHIP
State	MI
ZIP	48036
Phone	586 468-6868
CertificateType	4
CertificateEffectiveDate	2/7/2024
CertificateExpirationDate	2/6/2026
FacilityType	Waiver

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