02D1068277 CLIA NUMBER - TANANA HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 02D1068277
  • Facility Name: TANANA HEALTH CENTER
  • Facility Address: 150 FRONT STREET
    TANANA, AK
    ZIP 99777
  • Facility Phone: 907 366-7222
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: VICTOR JOSEPH
  • NPI Number: 1326353582
  • Taxonomy: 172V00000X - Community Health Worker

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CLIA Record

Field Name Field Value
CLIA Number 02D1068277
LAB Type Rural Health Clinic
Facility Name TANANA HEALTH CENTER
Street 150 FRONT STREET
City TANANA
State AK
ZIP 99777
Phone 907 366-7222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2025
Certificate Expiration Date 6/10/2027
Facility Type Rural Health Clinic
Lab Director VICTOR JOSEPH

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