02D1053620 CLIA NUMBER - CARRS PHARMACY #1807

Laboratory Demographics

  • CLIA Code: 02D1053620
  • Facility Name: CARRS PHARMACY #1807
  • Facility Address: 11431 BUSINESS BLVD
    EAGLE RIVER, AK
    ZIP 99577
  • Facility Phone: 907 726-0760
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: OLGA BROPHY
  • NPI Number: 1922037969
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 02D1053620
LAB Type Pharmacy
Facility Name CARRS PHARMACY #1807
Street 11431 BUSINESS BLVD
City EAGLE RIVER
State AK
ZIP 99577
Phone 907 726-0760
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2024
Certificate Expiration Date 4/27/2026
Facility Type Pharmacy
Lab Director OLGA BROPHY

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