02D1079837 CLIA NUMBER - LISA COONEY MD

Laboratory Demographics

  • CLIA Code: 02D1079837
  • Facility Name: LISA COONEY MD
  • Facility Address: 1751 EAST GARDNER WAY #E
    WASILLA, AK
    ZIP 99654
  • Facility Phone: 907 376-9321
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LISA COONEY
  • NPI Number: 1578522694
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 02D1079837
LAB Type Physician Office
Facility Name LISA COONEY MD
Street 1751 EAST GARDNER WAY #E
City WASILLA
State AK
ZIP 99654
Phone 907 376-9321
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Physician Office
Lab Director DR. LISA COONEY

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