52D2176748 CLIA NUMBER - THOMAS DONOHUE DC

Laboratory Demographics

CLIA Number: 52D2176748

Facility Name: THOMAS DONOHUE DC

Facility Address:
804 WEST 9TH STREET NORTH
LADYSMITH, WI
ZIP 54848
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Facility Phone Number: 715 415-7965

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1639162043

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	52D2176748
LAB Type	Practitioner Other
Facility Name	THOMAS DONOHUE DC
Street	804 WEST 9TH STREET NORTH
City	LADYSMITH
State	WI
ZIP	54848
Phone	715 415-7965
CertificateType	4
CertificateEffectiveDate	12/23/2023
CertificateExpirationDate	12/22/2025
FacilityType	Waiver

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