36D0341233 CLIA NUMBER - CORTLAND CHIROPRACTIC CLINIC

Laboratory Demographics

CLIA Number: 36D0341233

Facility Name: CORTLAND CHIROPRACTIC CLINIC

Facility Address:
148 WEST MAIN
CORTLAND, OH
ZIP 44410
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Facility Phone Number: 330 638-7310

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1609934611

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	36D0341233
LAB Type	Physician Office
Facility Name	CORTLAND CHIROPRACTIC CLINIC
Street	148 WEST MAIN
City	CORTLAND
State	OH
ZIP	44410
Phone	330 638-7310
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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