39D2136711 CLIA NUMBER - LARRY DOLTER D C

Laboratory Demographics

  • CLIA Code: 39D2136711
  • Facility Name: LARRY DOLTER D C
  • Facility Address: 310-2 STATE RT 288
    ELLWOOD CITY, PA
    ZIP 16117
  • Facility Phone: 724 758-4711
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DR. LARRY L. DOLTER
  • NPI Number: 1942328323
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 39D2136711
LAB Type Practitioner Other
Facility Name LARRY DOLTER D C
Street 310-2 STATE RT 288
City ELLWOOD CITY
State PA
ZIP 16117
Phone 724 758-4711
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2025
Certificate Expiration Date 9/13/2027
Facility Type Practitioner Other
Lab Director DR. LARRY L. DOLTER

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