02D0858787 CLIA NUMBER - MAT-SU MIDWIFERY, INC

Laboratory Demographics

  • CLIA Code: 02D0858787
  • Facility Name: MAT-SU MIDWIFERY, INC
  • Facility Address: 5000 E SHENNUM
    WASILLA, AK
    ZIP 99654
  • Facility Phone: 907 373-3420
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: AUBREY SPANGLER
  • NPI Number: 1275696486
  • Taxonomy: 176B00000X - Midwife

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CLIA Record

Field Name Field Value
CLIA Number 02D0858787
LAB Type Community Clinic
Facility Name MAT-SU MIDWIFERY, INC
Street 5000 E SHENNUM
City WASILLA
State AK
ZIP 99654
Phone 907 373-3420
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/25/2024
Certificate Expiration Date 3/24/2026
Facility Type Community Clinic
Lab Director AUBREY SPANGLER

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