38D2071462 CLIA NUMBER - STATELINE CHIROPRACTIC CLINIC

Laboratory Demographics

  • CLIA Code: 38D2071462
  • Facility Name: STATELINE CHIROPRACTIC CLINIC
  • Facility Address: 85458 HWY 11
    MILTON-FREEWATER, OR
    ZIP 97862
  • Facility Phone: 541 938-8300
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: CHAD E. SMITH DC
  • NPI Number: 1770778664
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 38D2071462
LAB Type Practitioner Other
Facility Name STATELINE CHIROPRACTIC CLINIC
Street 85458 HWY 11
City MILTON-FREEWATER
State OR
ZIP 97862
Phone 541 938-8300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2024
Certificate Expiration Date 1/12/2026
Facility Type Practitioner Other
Lab Director CHAD E. SMITH DC

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