02D0674836 CLIA NUMBER - PROVIDENCE ALASKA MEDICAL CTR LAB

Laboratory Demographics

CLIA Number: 02D0674836

Facility Name: PROVIDENCE ALASKA MEDICAL CTR LAB

Facility Address:
3200 PROVIDENCE DRIVE
ANCHORAGE, AK
ZIP 99508
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Facility Phone Number: 907 212-5674

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1124025507

Taxonomy: 314000000X - Skilled Nursing Facility
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

CLIA Record

Field Name	Field Value
CLIA Number	02D0674836
LAB Type	Hospital
Facility Name	PROVIDENCE ALASKA MEDICAL CTR LAB
Street	3200 PROVIDENCE DRIVE
City	ANCHORAGE
State	AK
ZIP	99508
Phone	907 212-5674
CertificateType	1
CertificateEffectiveDate	2/28/2023
CertificateExpirationDate	2/27/2025
FacilityType	Accreditation

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