52D2283726 CLIA NUMBER - RICHLAND CHIROPRACTIC CLINIC LLC

Laboratory Demographics

CLIA Number: 52D2283726

Facility Name: RICHLAND CHIROPRACTIC CLINIC LLC

Facility Address:
875 N ORANGE ST
RICHLAND CENTER, WI
ZIP 53581
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Facility Phone Number: 608 647-6211

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1881868768

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	52D2283726
LAB Type	Physician Office
Facility Name	RICHLAND CHIROPRACTIC CLINIC LLC
Street	875 N ORANGE ST
City	RICHLAND CENTER
State	WI
ZIP	53581
Phone	608 647-6211
CertificateType	4
CertificateEffectiveDate	6/13/2023
CertificateExpirationDate	6/12/2025
FacilityType	Waiver

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