02D0857854 CLIA NUMBER - ANCHORAGE FIRE DEPARTMENT

Laboratory Demographics

CLIA Number: 02D0857854

Facility Name: ANCHORAGE FIRE DEPARTMENT

Facility Address:
100 EAST 4TH AVENUE
ANCHORAGE, AK
ZIP 99501
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Facility Phone Number: 907 267-4973

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1073125514

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	02D0857854
LAB Type	Ambulance
Facility Name	ANCHORAGE FIRE DEPARTMENT
Street	100 EAST 4TH AVENUE
City	ANCHORAGE
State	AK
ZIP	99501
Phone	907 267-4973
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