02D0641299 CLIA NUMBER - MANIILAQ HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 02D0641299
  • Facility Name: MANIILAQ HEALTH CENTER
  • Facility Address: 436 5TH AVENUE
    KOTZEBUE, AK
    ZIP 99752
  • Facility Phone: 907 442-3321
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: JAMES J. TIESINGA
  • NPI Number: 1730835240
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 02D0641299
LAB Type Hospital
Facility Name MANIILAQ HEALTH CENTER
Street 436 5TH AVENUE
City KOTZEBUE
State AK
ZIP 99752
Phone 907 442-3321
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 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Hospital
Lab Director JAMES J. TIESINGA

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