02D1079837 CLIA NUMBER - LISA COONEY MD

Laboratory Demographics

CLIA Number: 02D1079837

Facility Name: LISA COONEY MD

Facility Address:
1751 EAST GARDNER WAY #E
WASILLA, AK
ZIP 99654
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Facility Phone Number: 907 376-9321

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1578522694

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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
CertificateType	4
CertificateEffectiveDate	2/7/2024
CertificateExpirationDate	2/6/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024