02D1030673 CLIA NUMBER - FORT WAINWRIGHT FIRE & EMERGENCY SERVICES

Laboratory Demographics

  • CLIA Code: 02D1030673
  • Facility Name: FORT WAINWRIGHT FIRE & EMERGENCY SERVICES
  • Facility Address: 1054 MARKS ROAD
    FORT WAINWRIGHT, AK
    ZIP 99703
  • Facility Phone: 907 353-9160
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: ALEX TEMPORADO
  • NPI Number: 1619922812
  • Taxonomy: 261QV0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 02D1030673
LAB Type Ambulance
Facility Name FORT WAINWRIGHT FIRE & EMERGENCY SERVICES
Street 1054 MARKS ROAD
City FORT WAINWRIGHT
State AK
ZIP 99703
Phone 907 353-9160
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Ambulance
Lab Director ALEX TEMPORADO

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