31D2207542 CLIA NUMBER - EAST BLACKWELL CHIROPRACTIC

Laboratory Demographics

  • CLIA Code: 31D2207542
  • Facility Name: EAST BLACKWELL CHIROPRACTIC
  • Facility Address: 2 EAST BLACKWELL STREET, SUITE 15
    DOVER, NJ
    ZIP 07801
  • Facility Phone: 973 361-3500
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MICHAEL T. WARD
  • NPI Number: 1114309887
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 31D2207542
LAB Type Practitioner Other
Facility Name EAST BLACKWELL CHIROPRACTIC
Street 2 EAST BLACKWELL STREET, SUITE 15
City DOVER
State NJ
ZIP 07801
Phone 973 361-3500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2024
Certificate Expiration Date 12/28/2026
Facility Type Practitioner Other
Lab Director MICHAEL T. WARD

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