41D2229660 CLIA NUMBER - MULAK CHIROPRACTIC CENTER

Laboratory Demographics

  • CLIA Code: 41D2229660
  • Facility Name: MULAK CHIROPRACTIC CENTER
  • Facility Address: 480 BROADWAY
    PROVIDENCE, RI
    ZIP 02909
  • Facility Phone: 401 272-5710
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK J. MULAK
  • NPI Number: 1316076342
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 41D2229660
LAB Type Physician Office
Facility Name MULAK CHIROPRACTIC CENTER
Street 480 BROADWAY
City PROVIDENCE
State RI
ZIP 02909
Phone 401 272-5710
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2025
Certificate Expiration Date 7/14/2027
Facility Type Physician Office
Lab Director MARK J. MULAK

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