42D2058872 CLIA NUMBER - THE CAGLE CENTER OF WELLNESS

Home > CLIA Lookup > 42D2058872

Laboratory Demographics

CLIA Number: 42D2058872

Facility Name: THE CAGLE CENTER OF WELLNESS

Facility Address:
307 RUTHERFORD STREET
GREENVILLE, SC
ZIP 29609
Get Directions

Facility Phone Number: 864 235-9766

Facility Type: Other - CHIROPRACTOR

Certificate Type: Waiver

NPI Number: 1801404058

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	42D2058872
LAB Type	Other - CHIROPRACTOR
Facility Name	THE CAGLE CENTER OF WELLNESS
Street	307 RUTHERFORD STREET
City	GREENVILLE
State	SC
ZIP	29609
Phone	864 235-9766
CertificateType	4
CertificateEffectiveDate	5/14/2023
CertificateExpirationDate	5/13/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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