02D0641844 CLIA NUMBER - SAMUEL SIMMONDS MEMORIAL HOSPITAL LAB

Laboratory Demographics

  • CLIA Code: 02D0641844
  • Facility Name: SAMUEL SIMMONDS MEMORIAL HOSPITAL LAB
  • Facility Address: 7000 UULA ST
    BARROW, AK
    ZIP 99723
  • Facility Phone: 907 852-4611
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. JAMES J. TIESINGA
  • NPI Number: 1528181971
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 02D0641844
LAB Type Hospital
Facility Name SAMUEL SIMMONDS MEMORIAL HOSPITAL LAB
Street 7000 UULA ST
City BARROW
State AK
ZIP 99723
Phone 907 852-4611
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. JAMES J. TIESINGA

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