45D2083600 CLIA NUMBER - DAVIS CHIROPRACTIC

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Laboratory Demographics

CLIA Number: 45D2083600

Facility Name: DAVIS CHIROPRACTIC

Facility Address:
5231 79TH STREET
LUBBOCK, TX
ZIP 79424
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Facility Phone Number: 806 771-4790

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1437397395

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	45D2083600
LAB Type	Physician Office
Facility Name	DAVIS CHIROPRACTIC
Street	5231 79TH STREET
City	LUBBOCK
State	TX
ZIP	79424
Phone	806 771-4790
CertificateType	4
CertificateEffectiveDate	9/9/2022
CertificateExpirationDate	9/8/2024
FacilityType	Waiver

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