02D1068278 CLIA NUMBER - ALL SEASONS FAMILY HEALTHCARE

Laboratory Demographics

CLIA Number: 02D1068278

Facility Name: ALL SEASONS FAMILY HEALTHCARE

Facility Address:
5461 MAYFLOWER #4
WASILLA, AK
ZIP 99654
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Facility Phone Number: (907) 376-4644

Facility Type: PHYSICIAN OFFICE

Certificate Type: Microscopy

NPI Number: 1285833103

Taxonomy: 363LP2300X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	02D1068278
LAB Type	PHYSICIAN OFFICE
Facility Name	ALL SEASONS FAMILY HEALTHCARE
Street	5461 MAYFLOWER #4
City	WASILLA
State	AK
ZIP	99654
Phone	(907) 376-4644

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This page was last updated on: 5/11/2023