26D2033709 CLIA NUMBER - DESOTO CHIROPRACTIC

Laboratory Demographics

  • CLIA Code: 26D2033709
  • Facility Name: DESOTO CHIROPRACTIC
  • Facility Address: 112 N MAIN ST
    DESOTO, MO
    ZIP 63020
  • Facility Phone: 636 586-4226
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JEFFREY D. CARPENTER
  • NPI Number: 1053596478
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 26D2033709
LAB Type Practitioner Other
Facility Name DESOTO CHIROPRACTIC
Street 112 N MAIN ST
City DESOTO
State MO
ZIP 63020
Phone 636 586-4226
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2023
Certificate Expiration Date 12/7/2025
Facility Type Practitioner Other
Lab Director JEFFREY D. CARPENTER

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