02D0864716 CLIA NUMBER - DIVISION OF ALASKA PIONEER HOMES STATE OF ALASKA

Laboratory Demographics

CLIA Number: 02D0864716

Facility Name: DIVISION OF ALASKA PIONEER HOMES STATE OF ALASKA

Facility Address:
923 WEST 11TH AVE
ANCHORAGE, AK
ZIP 99501
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Facility Phone Number: 907 343-7294

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1073631677

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	02D0864716
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	DIVISION OF ALASKA PIONEER HOMES STATE OF ALASKA
Street	923 WEST 11TH AVE
City	ANCHORAGE
State	AK
ZIP	99501
Phone	907 343-7294
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