02D0868132 CLIA NUMBER - KACHEMAK BAY FAMILY PLANNING CLINIC

Laboratory Demographics

CLIA Number: 02D0868132

Facility Name: KACHEMAK BAY FAMILY PLANNING CLINIC

Facility Address:
3959 BEN WALTERS LANE
HOMER, AK
ZIP 99603
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Facility Phone Number: 907 235-3436

Facility Type: Other

Certificate Type: Microscopy

NPI Number: 1477684561

Taxonomy: 261QF0050X - Clinic/Center
An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives.

CLIA Record

Field Name	Field Value
CLIA Number	02D0868132
LAB Type	Other
Facility Name	KACHEMAK BAY FAMILY PLANNING CLINIC
Street	3959 BEN WALTERS LANE
City	HOMER
State	AK
ZIP	99603
Phone	907 235-3436
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

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