02D0671504 CLIA NUMBER - FIRST CARE MEDICAL CENTERS

Laboratory Demographics

CLIA Number: 02D0671504

Facility Name: FIRST CARE MEDICAL CENTERS

Facility Address:
1301 HUFFMAN RD STE 100
ANCHORAGE, AK
ZIP 99515
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Facility Phone Number: 907 345-1199

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1578655213

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	02D0671504
LAB Type	Physician Office
Facility Name	FIRST CARE MEDICAL CENTERS
Street	1301 HUFFMAN RD STE 100
City	ANCHORAGE
State	AK
ZIP	99515
Phone	907 345-1199
CertificateType	4
CertificateEffectiveDate	4/23/2024
CertificateExpirationDate	4/22/2026
FacilityType	Waiver

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