02D1073821 CLIA NUMBER - ARCTIC SKYE FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 02D1073821
  • Facility Name: ARCTIC SKYE FAMILY MEDICINE
  • Facility Address: 2851 E PALMER WASILLA HWY, STE 3
    WASILLA, AK
    ZIP 99654
  • Facility Phone: 907 357-7944
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REBECCA SC WHITE
  • NPI Number: 1205035573
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 02D1073821
LAB Type Physician Office
Facility Name ARCTIC SKYE FAMILY MEDICINE
Street 2851 E PALMER WASILLA HWY, STE 3
City WASILLA
State AK
ZIP 99654
Phone 907 357-7944
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2025
Certificate Expiration Date 9/16/2027
Facility Type Physician Office
Lab Director REBECCA SC WHITE

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