45D2108466 CLIA NUMBER - PEAK HEALTHCARE & REHAB

Laboratory Demographics

CLIA Number: 45D2108466

Facility Name: PEAK HEALTHCARE & REHAB

Facility Address:
118 E 12TH STREET
DALLAS, TX
ZIP 75203
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Facility Phone Number: 972 677-7303

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1932566981

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	45D2108466
LAB Type	Physician Office
Facility Name	PEAK HEALTHCARE & REHAB
Street	118 E 12TH STREET
City	DALLAS
State	TX
ZIP	75203
Phone	972 677-7303
CertificateType	4
CertificateEffectiveDate	2/5/2024
CertificateExpirationDate	2/4/2026
FacilityType	Waiver

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