52D2015492 CLIA NUMBER - PREFERRED CHIROPRACTIC, SC

Laboratory Demographics

  • CLIA Code: 52D2015492
  • Facility Name: PREFERRED CHIROPRACTIC, SC
  • Facility Address: 97 S PIONEER RD STE 100
    FOND DU LAC, WI
    ZIP 54935
  • Facility Phone: 920 924-9600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JEFFREY L. WALTERS
  • NPI Number: 1285700930
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 52D2015492
LAB Type Physician Office
Facility Name PREFERRED CHIROPRACTIC, SC
Street 97 S PIONEER RD STE 100
City FOND DU LAC
State WI
ZIP 54935
Phone 920 924-9600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type Physician Office
Lab Director DR. JEFFREY L. WALTERS

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