02D1050322 CLIA NUMBER - KENAI PENINSULA COLLEGE STUDENT HEALTH

Laboratory Demographics

  • CLIA Code: 02D1050322
  • Facility Name: KENAI PENINSULA COLLEGE STUDENT HEALTH
  • Facility Address: 156 COLLEGE ROAD
    SOLDOTNA, AK
    ZIP 99669
  • Facility Phone: 907 262-0347
  • Facility Type: School/Student Health Service
  • Facility Type: Microscopy
  • Lab Director: DR. WILLIAM L. COOPER
  • NPI Number: 1003339334
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 02D1050322
LAB Type School/Student Health Service
Facility Name KENAI PENINSULA COLLEGE STUDENT HEALTH
Street 156 COLLEGE ROAD
City SOLDOTNA
State AK
ZIP 99669
Phone 907 262-0347
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 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type School/Student Health Service
Lab Director DR. WILLIAM L. COOPER

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