52D2133047 CLIA NUMBER - IMPERIUM CHIROPRACTIC, SC

Laboratory Demographics

  • CLIA Code: 52D2133047
  • Facility Name: IMPERIUM CHIROPRACTIC, SC
  • Facility Address: W8646 HWY 8
    LADYSMITH, WI
    ZIP 54848
  • Facility Phone: 715 532-6394
  • Facility Type: Other - CHIROPRACTIC OFFICE
  • Facility Type: Waiver
  • Lab Director: DR. TONYA PROKOP-NETTE
  • NPI Number: 1346638384
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 52D2133047
LAB Type Other - CHIROPRACTIC OFFICE
Facility Name IMPERIUM CHIROPRACTIC, SC
Street W8646 HWY 8
City LADYSMITH
State WI
ZIP 54848
Phone 715 532-6394
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/5/2025
Certificate Expiration Date 7/4/2027
Facility Type Other - CHIROPRACTIC OFFICE
Lab Director DR. TONYA PROKOP-NETTE

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