36D0877988 CLIA NUMBER - WILLOUGHBY FIRE DEPARTMENT

Laboratory Demographics

CLIA Number: 36D0877988

Facility Name: WILLOUGHBY FIRE DEPARTMENT

Facility Address:
37000 EUCLID AVE STATION 1 & 2
WILLOUGHBY, OH
ZIP 44094
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Facility Phone Number: 440 953-4343

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1891210175

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	36D0877988
LAB Type	Other
Facility Name	WILLOUGHBY FIRE DEPARTMENT
Street	37000 EUCLID AVE STATION 1 & 2
City	WILLOUGHBY
State	OH
ZIP	44094
Phone	440 953-4343
CertificateType	4
CertificateEffectiveDate	10/15/2023
CertificateExpirationDate	10/14/2025
FacilityType	Waiver

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