39D2055368 CLIA NUMBER - ANNETTE CLEMENTE CHIROPRACTIC, LLC

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Laboratory Demographics

CLIA Number: 39D2055368

Facility Name: ANNETTE CLEMENTE CHIROPRACTIC, LLC

Facility Address:
1971 WEST CHESTNUT STREET
WASHINGTON, PA
ZIP 15301
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Facility Phone Number: 724 222-5232

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1417944679

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	39D2055368
LAB Type	Practitioner Other
Facility Name	ANNETTE CLEMENTE CHIROPRACTIC, LLC
Street	1971 WEST CHESTNUT STREET
City	WASHINGTON
State	PA
ZIP	15301
Phone	724 222-5232
CertificateType	4
CertificateEffectiveDate	3/11/2023
CertificateExpirationDate	3/10/2025
FacilityType	Waiver

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