02D0640992 CLIA NUMBER - NORTH PACIFIC MEDICAL CENTER

Laboratory Demographics

CLIA Number: 02D0640992

Facility Name: NORTH PACIFIC MEDICAL CENTER

Facility Address:
104 CENTER AVENUE #100
KODIAK, AK
ZIP 99615
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Facility Phone Number: 907 486-4183

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1225106263

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	02D0640992
LAB Type	Physician Office
Facility Name	NORTH PACIFIC MEDICAL CENTER
Street	104 CENTER AVENUE #100
City	KODIAK
State	AK
ZIP	99615
Phone	907 486-4183
CertificateType	4
CertificateEffectiveDate	8/21/2022
CertificateExpirationDate	8/20/2024
FacilityType	Waiver

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