02D0855904 CLIA NUMBER - NIKISKI FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 02D0855904
  • Facility Name: NIKISKI FIRE DEPARTMENT
  • Facility Address: MILE 26-8 KENAI SPUR HIGHWAY
    NIKISKI, AK
    ZIP 99635
  • Facility Phone: 907 776-5150
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: HARRISON DEVEER
  • NPI Number: 1669607230
  • Taxonomy: 3416L0300X - Ambulance

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Mobile Laboratory
Lab Director HARRISON DEVEER

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This page was last updated on: 9/29/2025