02D0855904 CLIA NUMBER - NIKISKI FIRE DEPARTMENT

Laboratory Demographics

CLIA Number: 02D0855904

Facility Name: NIKISKI FIRE DEPARTMENT

Facility Address:
MILE 26-8 KENAI SPUR HIGHWAY
NIKISKI, AK
ZIP 99635
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Facility Phone Number: 907 776-5150

Facility Type: Mobile Laboratory

Certificate Type: Waiver

NPI Number: 1669607230

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	02D0855904
LAB Type	Mobile Laboratory
Facility Name	NIKISKI FIRE DEPARTMENT
Street	MILE 26-8 KENAI SPUR HIGHWAY
City	NIKISKI
State	AK
ZIP	99635
Phone	907 776-5150
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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