36D0349867 CLIA NUMBER - BACK TO HEALTH CENTER

Laboratory Demographics

CLIA Number: 36D0349867

Facility Name: BACK TO HEALTH CENTER

Facility Address:
5777 FAR HILLS AVE
DAYTON, OH
ZIP 45429
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Facility Phone Number: 937 433-3241

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1598104879

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	36D0349867
LAB Type	Physician Office
Facility Name	BACK TO HEALTH CENTER
Street	5777 FAR HILLS AVE
City	DAYTON
State	OH
ZIP	45429
Phone	937 433-3241
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