02D0974390 CLIA NUMBER - FAIRWEATHER, LLC

Laboratory Demographics

CLIA Number: 02D0974390

Facility Name: FAIRWEATHER, LLC

Facility Address:
301 CALISTA COURT
ANCHORAGE, AK
ZIP 99518
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Facility Phone Number: 907 346-3247

Facility Type: Mobile Laboratory

Certificate Type: Waiver

NPI Number: 1972842433

Taxonomy: 363A00000X - Physician Assistant
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

CLIA Record

Field Name Field Value
CLIA Number 02D0974390
LAB Type Mobile Laboratory
Facility Name FAIRWEATHER, LLC
Street 301 CALISTA COURT
City ANCHORAGE
State AK
ZIP 99518
Phone 907 346-3247
CertificateType 4
CertificateEffectiveDate 6/6/2022
CertificateExpirationDate 6/5/2024
FacilityType Waiver

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