41D2045589 CLIA NUMBER - SCITUATE CHIROPRACTIC CENTER, INC

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Laboratory Demographics

CLIA Number: 41D2045589

Facility Name: SCITUATE CHIROPRACTIC CENTER, INC

Facility Address:
6 VILLAGE PLAZA WAY
NORTH SCITUATE, RI
ZIP 02857
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Facility Phone Number: 401 934-0077

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1831378942

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	41D2045589
LAB Type	Practitioner Other
Facility Name	SCITUATE CHIROPRACTIC CENTER, INC
Street	6 VILLAGE PLAZA WAY
City	NORTH SCITUATE
State	RI
ZIP	02857
Phone	401 934-0077
CertificateType	4
CertificateEffectiveDate	8/16/2022
CertificateExpirationDate	8/15/2024
FacilityType	Waiver

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