37D0945610 CLIA NUMBER - ABUNDANT LIFE CHIROPRACTIC INC

Laboratory Demographics

CLIA Number: 37D0945610

Facility Name: ABUNDANT LIFE CHIROPRACTIC INC

Facility Address:
324 ELM
YUKON, OK
ZIP 73099
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Facility Phone Number: 405 354-5231

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1346631553

Taxonomy: 111NI0013X - Chiropractor
A chiropractor and special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues.

CLIA Record

Field Name	Field Value
CLIA Number	37D0945610
LAB Type	Physician Office
Facility Name	ABUNDANT LIFE CHIROPRACTIC INC
Street	324 ELM
City	YUKON
State	OK
ZIP	73099
Phone	405 354-5231
CertificateType	4
CertificateEffectiveDate	12/6/2023
CertificateExpirationDate	12/5/2025
FacilityType	Waiver

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