02D1022798 CLIA NUMBER - GIRDWOOD FIRE DEPT

Laboratory Demographics

CLIA Number: 02D1022798

Facility Name: GIRDWOOD FIRE DEPT

Facility Address:
186 EGLOFF DRIVE
GIRDWOOD, AK
ZIP 99587
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Facility Phone Number: 907 783-2511

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1316572712

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	02D1022798
LAB Type	Ambulance
Facility Name	GIRDWOOD FIRE DEPT
Street	186 EGLOFF DRIVE
City	GIRDWOOD
State	AK
ZIP	99587
Phone	907 783-2511
CertificateType	4
CertificateEffectiveDate	2/25/2024
CertificateExpirationDate	2/24/2026
FacilityType	Waiver

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