02D1033135 CLIA NUMBER - INTERIOR AIDS ASSOC OA C&T PROG

Laboratory Demographics

  • CLIA Code: 02D1033135
  • Facility Name: INTERIOR AIDS ASSOC OA C&T PROG
  • Facility Address: 710 3RD AVENUE
    FAIRBANKS, AK
    ZIP 99701
  • Facility Phone: 907 452-4222
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: HERBERT A. DAY
  • NPI Number: 1306483755
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 02D1033135
LAB Type Other
Facility Name INTERIOR AIDS ASSOC OA C&T PROG
Street 710 3RD AVENUE
City FAIRBANKS
State AK
ZIP 99701
Phone 907 452-4222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Other
Lab Director HERBERT A. DAY

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