02D0708909 CLIA NUMBER - DENA'INA WELLNESS CENTER

Laboratory Demographics

CLIA Number: 02D0708909

Facility Name: DENA'INA WELLNESS CENTER

Facility Address:
508 UPLAND STREET
KENAI, AK
ZIP 99611
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Facility Phone Number: 907 335-7544

Facility Type: Community Clinic

Certificate Type: Certificate of Compliance

NPI Number: 1295972677

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	02D0708909
LAB Type	Community Clinic
Facility Name	DENA'INA WELLNESS CENTER
Street	508 UPLAND STREET
City	KENAI
State	AK
ZIP	99611
Phone	907 335-7544
CertificateType	2
CertificateEffectiveDate	4/11/2023
CertificateExpirationDate	4/10/2025
FacilityType	Compliance

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