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02D0641210 CLIA NUMBER - FOUNDATION HEALTH, LLC DBA FAIRBANKS MEMORIAL HOSPITAL

Laboratory Demographics

CLIA Number: 02D0641210

Facility Name: FOUNDATION HEALTH, LLC DBA FAIRBANKS MEMORIAL HOSPITAL

Facility Address:
1650 COWLES ST
FAIRBANKS, AK
ZIP 99701
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Facility Phone Number: 907 458-5640

Facility Type: Hospital

Certificate Type: Accreditation
NPI Number: 1306952247

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 02D0641210
LAB Type Hospital
Facility Name FOUNDATION HEALTH, LLC DBA FAIRBANKS MEMORIAL HOSPITAL
Street 1650 COWLES ST
City FAIRBANKS
State AK
ZIP 99701
Phone 907 458-5640
CertificateType 1
CertificateEffectiveDate 9/8/2023
CertificateExpirationDate 9/7/2025
FacilityType Accreditation

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