45D2078997 CLIA NUMBER - WEST ODESSA CHIROPRACTIC CLINIC

Laboratory Demographics

  • CLIA Code: 45D2078997
  • Facility Name: WEST ODESSA CHIROPRACTIC CLINIC
  • Facility Address: 1319 W 22ND ST
    ODESSA, TX
    ZIP 79763
  • Facility Phone: 432 332-7882
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: CARL T. DAVIDSON
  • NPI Number: 1043396526
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 45D2078997
LAB Type Practitioner Other
Facility Name WEST ODESSA CHIROPRACTIC CLINIC
Street 1319 W 22ND ST
City ODESSA
State TX
ZIP 79763
Phone 432 332-7882
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2024
Certificate Expiration Date 6/8/2026
Facility Type Practitioner Other
Lab Director CARL T. DAVIDSON

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