02D0917382 CLIA NUMBER - PEACEHEALTH MEDICAL GROUP PRINCE OF WALES

Laboratory Demographics

  • CLIA Code: 02D0917382
  • Facility Name: PEACEHEALTH MEDICAL GROUP PRINCE OF WALES
  • Facility Address: 1800 CRAIG-KLAWOCK HIGHWAY
    CRAIG, AK
    ZIP 99921
  • Facility Phone: 907 826-3257
  • Facility Type: Community Clinic
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. PETER RICE
  • NPI Number: 1528506961
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 02D0917382
LAB Type Community Clinic
Facility Name PEACEHEALTH MEDICAL GROUP PRINCE OF WALES
Street 1800 CRAIG-KLAWOCK HIGHWAY
City CRAIG
State AK
ZIP 99921
Phone 907 826-3257
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type Community Clinic
Lab Director DR. PETER RICE

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