02D1011632 CLIA NUMBER - HEIRLOOM WELLNESS AND BIRTH, LLC

Laboratory Demographics

CLIA Number: 02D1011632

Facility Name: HEIRLOOM WELLNESS AND BIRTH, LLC

Facility Address:
2323 S TRUNK RD
PALMER, AK
ZIP 99645
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Facility Phone Number: (907) 746-6644

Facility Type: OTHER PRACTITIONER

Certificate Type: Waiver

NPI Number: 1457659906

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	02D1011632
LAB Type	OTHER PRACTITIONER
Facility Name	HEIRLOOM WELLNESS AND BIRTH, LLC
Street	2323 S TRUNK RD
City	PALMER
State	AK
ZIP	99645
Phone	(907) 746-6644

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This page was last updated on: 5/11/2023