02D0724507 CLIA NUMBER - STATE OF ALASKA/DOH/DPH PUBLIC HEALTH NURSING

Laboratory Demographics

CLIA Number: 02D0724507

Facility Name: STATE OF ALASKA/DOH/DPH PUBLIC HEALTH NURSING

Facility Address:
3601 C STREET, SUITE 760
ANCHORAGE, AK
ZIP 99503
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Facility Phone Number: 907 269-6228

Facility Type: Other - STATE PUBLIC HEALTH CLIN

Certificate Type: Microscopy

NPI Number: 1295127694

Taxonomy: 261QP0905X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	02D0724507
LAB Type	Other - STATE PUBLIC HEALTH CLIN
Facility Name	STATE OF ALASKA/DOH/DPH PUBLIC HEALTH NURSING
Street	3601 C STREET, SUITE 760
City	ANCHORAGE
State	AK
ZIP	99503
Phone	907 269-6228
CertificateType	3
CertificateEffectiveDate	9/20/2022
CertificateExpirationDate	9/19/2024
FacilityType	PPMP

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