34D2102889 CLIA NUMBER - LAKE NORMAN CHIROPRACTIC CENTER, PA

Laboratory Demographics

  • CLIA Code: 34D2102889
  • Facility Name: LAKE NORMAN CHIROPRACTIC CENTER, PA
  • Facility Address: 612 N MAIN STREET
    MOORESVILLE, NC
    ZIP 28115
  • Facility Phone: 704 664-3455
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MR. TODD F. ABERNATHY
  • NPI Number: 1801832811
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 34D2102889
LAB Type Practitioner Other
Facility Name LAKE NORMAN CHIROPRACTIC CENTER, PA
Street 612 N MAIN STREET
City MOORESVILLE
State NC
ZIP 28115
Phone 704 664-3455
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2025
Certificate Expiration Date 9/30/2027
Facility Type Practitioner Other
Lab Director MR. TODD F. ABERNATHY

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