02D1014850 CLIA NUMBER - NORTH STAR RESIDENTIAL TREATMENT CENTER PALMER RESIDENTIAL TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 02D1014850
  • Facility Name: NORTH STAR RESIDENTIAL TREATMENT CENTER PALMER RESIDENTIAL TREATMENT CENTER
  • Facility Address: MILE 2 1/2 CLARK-WOLVERINE ROAD
    PALMER, AK
    ZIP 99645
  • Facility Phone: 907 746-7541
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DR. RUTH DUKOFF
  • NPI Number: 1124142328
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 02D1014850
LAB Type Other
Facility Name NORTH STAR RESIDENTIAL TREATMENT CENTER PALMER RESIDENTIAL TREATMENT CENTER
Street MILE 2 1/2 CLARK-WOLVERINE ROAD
City PALMER
State AK
ZIP 99645
Phone 907 746-7541
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2025
Certificate Expiration Date 7/16/2027
Facility Type Other
Lab Director DR. RUTH DUKOFF

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