02D0641454 CLIA NUMBER - PEACEHEALTH KETCHIKAN MEDICAL CENTER LABORATORY

Laboratory Demographics

  • CLIA Code: 02D0641454
  • Facility Name: PEACEHEALTH KETCHIKAN MEDICAL CENTER LABORATORY
  • Facility Address: 3100 TONGASS AVE
    KETCHIKAN, AK
    ZIP 99901
  • Facility Phone: 907 225-5171
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. VALERIE C. MCWHORTER
  • NPI Number: 1528544822
  • Taxonomy: 275N00000X - Medicare Defined Swing Bed Unit

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CLIA Record

Field Name Field Value
CLIA Number 02D0641454
LAB Type Hospital
Facility Name PEACEHEALTH KETCHIKAN MEDICAL CENTER LABORATORY
Street 3100 TONGASS AVE
City KETCHIKAN
State AK
ZIP 99901
Phone 907 225-5171
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 DR. VALERIE C. MCWHORTER

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