02D1023818 CLIA NUMBER - INTERIOR WOMEN'S HEALTH LLC

Laboratory Demographics

  • CLIA Code: 02D1023818
  • Facility Name: INTERIOR WOMEN'S HEALTH LLC
  • Facility Address: 1626 30TH AVE
    FAIRBANKS, AK
    ZIP 99701
  • Facility Phone: 907 479-7701
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KARL B. BAURICK
  • NPI Number: 1114268752
  • Taxonomy: 261QB0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 02D1023818
LAB Type Physician Office
Facility Name INTERIOR WOMEN'S HEALTH LLC
Street 1626 30TH AVE
City FAIRBANKS
State AK
ZIP 99701
Phone 907 479-7701
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/25/2024
Certificate Expiration Date 3/24/2026
Facility Type Physician Office
Lab Director KARL B. BAURICK

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