02D1050322 CLIA NUMBER - KENAI PENINSULA COLLEGE STUDENT HEALTH

Laboratory Demographics

CLIA Number: 02D1050322

Facility Name: KENAI PENINSULA COLLEGE STUDENT HEALTH

Facility Address:
156 COLLEGE ROAD
SOLDOTNA, AK
ZIP 99669
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Facility Phone Number: 907 262-0347

Facility Type: School/Student Health Service

Certificate Type: Microscopy

NPI Number: 1003339334

Taxonomy: 261QU0200X - Clinic/Center

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
CertificateType 3
CertificateEffectiveDate 1/31/2024
CertificateExpirationDate 1/30/2026
FacilityType PPMP

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