02D1052327 CLIA NUMBER - INSIDE PASSAGE MIDWIFERY & NATURAL MED LLC

Laboratory Demographics

  • CLIA Code: 02D1052327
  • Facility Name: INSIDE PASSAGE MIDWIFERY & NATURAL MED LLC
  • Facility Address: 853 BASIN ROAD
    JUNEAU, AK
    ZIP 99801
  • Facility Phone: 907 463-2600
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DEBORAH A. GILLESPIE
  • NPI Number: 1083907711
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 02D1052327
LAB Type Practitioner Other
Facility Name INSIDE PASSAGE MIDWIFERY & NATURAL MED LLC
Street 853 BASIN ROAD
City JUNEAU
State AK
ZIP 99801
Phone 907 463-2600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2024
Certificate Expiration Date 3/21/2026
Facility Type Practitioner Other
Lab Director DEBORAH A. GILLESPIE

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This page was last updated on: 3/20/2025