02D0689749 CLIA NUMBER - HOMER MEDICAL CENTER

Laboratory Demographics

CLIA Number: 02D0689749

Facility Name: HOMER MEDICAL CENTER

Facility Address:
4136 BARTLETT STREET
HOMER, AK
ZIP 99603
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Facility Phone Number: 907 235-8586

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1134277312

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	02D0689749
LAB Type	Physician Office
Facility Name	HOMER MEDICAL CENTER
Street	4136 BARTLETT STREET
City	HOMER
State	AK
ZIP	99603
Phone	907 235-8586
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

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