52D2071087 CLIA NUMBER - DRAGT CHIROPRACTIC, LLC

Laboratory Demographics

  • CLIA Code: 52D2071087
  • Facility Name: DRAGT CHIROPRACTIC, LLC
  • Facility Address: 202 EAST UPHAM STREET
    MARSHFIELD, WI
    ZIP 54449
  • Facility Phone: 715 384-9050
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DR. RANDALL L. DRAGT
  • NPI Number: 1710314604
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 52D2071087
LAB Type Practitioner Other
Facility Name DRAGT CHIROPRACTIC, LLC
Street 202 EAST UPHAM STREET
City MARSHFIELD
State WI
ZIP 54449
Phone 715 384-9050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/2/2024
Certificate Expiration Date 1/1/2026
Facility Type Practitioner Other
Lab Director DR. RANDALL L. DRAGT

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