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

Laboratory Demographics

  • CLIA Code: 02D0641210
  • Facility Name: FOUNDATION HEALTH, LLC DBA FAIRBANKS MEMORIAL HOSPITAL
  • Facility Address: 1650 COWLES ST
    FAIRBANKS, AK
    ZIP 99701
  • Facility Phone: 907 458-5640
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. ANDREW J. EVANGER
  • NPI Number: 1306952247
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

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
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/8/2025
Certificate Expiration Date 9/7/2027
Facility Type Hospital
Lab Director DR. ANDREW J. EVANGER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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