35D2141293 CLIA NUMBER - CHUPPE CLINIC

Laboratory Demographics

  • CLIA Code: 35D2141293
  • Facility Name: CHUPPE CLINIC
  • Facility Address: 1936 N 11TH ST
    BISMARCK, ND
    ZIP 58501
  • Facility Phone: 701 258-0029
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GREGORY P. CHUPPE
  • NPI Number: 1649285396
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 35D2141293
LAB Type Physician Office
Facility Name CHUPPE CLINIC
Street 1936 N 11TH ST
City BISMARCK
State ND
ZIP 58501
Phone 701 258-0029
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2023
Certificate Expiration Date 12/11/2025
Facility Type Physician Office
Lab Director GREGORY P. CHUPPE

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