39D2177615 CLIA NUMBER - OLSEN CHIROPRACTIC

Laboratory Demographics

CLIA Number: 39D2177615

Facility Name: OLSEN CHIROPRACTIC

Facility Address:
159 BUTLER RD, STE 2A
KITTANNING, PA
ZIP 16201
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Facility Phone Number: 724 548-1040

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1508189507

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	39D2177615
LAB Type	Physician Office
Facility Name	OLSEN CHIROPRACTIC
Street	159 BUTLER RD, STE 2A
City	KITTANNING
State	PA
ZIP	16201
Phone	724 548-1040
CertificateType	4
CertificateEffectiveDate	1/15/2024
CertificateExpirationDate	1/14/2026
FacilityType	Waiver

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