02D0911537 CLIA NUMBER - KING COVE COMMUNITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 02D0911537
  • Facility Name: KING COVE COMMUNITY HEALTH CENTER
  • Facility Address: 100 SLOCUM DR
    KING COVE, AK
    ZIP 99612
  • Facility Phone: 907 497-2311
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: TERESA VIAL
  • NPI Number: 1821457227
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 02D0911537
LAB Type Community Clinic
Facility Name KING COVE COMMUNITY HEALTH CENTER
Street 100 SLOCUM DR
City KING COVE
State AK
ZIP 99612
Phone 907 497-2311
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 2/8/2024
Certificate Expiration Date 2/7/2026
Facility Type Community Clinic
Lab Director TERESA VIAL

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