26D2229180 CLIA NUMBER - LOEHR MEDICAL GROUP

Laboratory Demographics

CLIA Number: 26D2229180

Facility Name: LOEHR MEDICAL GROUP

Facility Address:
2144 E REPUBLIC RD SUITE A-104
SPRINGFIELD, MO
ZIP 65804
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Facility Phone Number: 417 887-8075

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1861001224

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 26D2229180
LAB Type Physician Office
Facility Name LOEHR MEDICAL GROUP
Street 2144 E REPUBLIC RD SUITE A-104
City SPRINGFIELD
State MO
ZIP 65804
Phone 417 887-8075
CertificateType 4
CertificateEffectiveDate 7/8/2023
CertificateExpirationDate 7/7/2025
FacilityType Waiver

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