02D0672646 CLIA NUMBER - KETCHIKAN FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 02D0672646
  • Facility Name: KETCHIKAN FIRE DEPARTMENT
  • Facility Address: 70 BAWDEN STREET
    KETCHIKAN, AK
    ZIP 99901
  • Facility Phone: 907 225-9616
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: DR. JOSEPH C. LIVENGOOD
  • NPI Number: 1801437090
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 02D0672646
LAB Type Mobile Laboratory
Facility Name KETCHIKAN FIRE DEPARTMENT
Street 70 BAWDEN STREET
City KETCHIKAN
State AK
ZIP 99901
Phone 907 225-9616
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Mobile Laboratory
Lab Director DR. JOSEPH C. LIVENGOOD

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