02D0641002 CLIA NUMBER - KODIAK AREA NATIVE ASSOCIATION KANA MAIN

Laboratory Demographics

  • CLIA Code: 02D0641002
  • Facility Name: KODIAK AREA NATIVE ASSOCIATION KANA MAIN
  • Facility Address: 3449 E REZANOF DRIVE
    KODIAK, AK
    ZIP 99615
  • Facility Phone: 907 486-9847
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: ASHLEY FROST
  • NPI Number: 1801187471
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 02D0641002
LAB Type Community Clinic
Facility Name KODIAK AREA NATIVE ASSOCIATION KANA MAIN
Street 3449 E REZANOF DRIVE
City KODIAK
State AK
ZIP 99615
Phone 907 486-9847
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2024
Certificate Expiration Date 11/1/2026
Facility Type Community Clinic
Lab Director ASHLEY FROST

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