50D2228247 CLIA NUMBER - NAPAVINE SCHOOL DISTRICT

Laboratory Demographics

CLIA Number: 50D2228247

Facility Name: NAPAVINE SCHOOL DISTRICT

Facility Address:
404 4TH AVE NE
NAPAVINE, WA
ZIP 98565
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Facility Phone Number: 360 262-3301

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1275577140

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	50D2228247
LAB Type	School/Student Health Service
Facility Name	NAPAVINE SCHOOL DISTRICT
Street	404 4TH AVE NE
City	NAPAVINE
State	WA
ZIP	98565
Phone	360 262-3301
CertificateType	4
CertificateEffectiveDate	6/23/2021
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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