02D1096975 CLIA NUMBER - PRIMROSE SENIOR HOLDINGS, LLC

Laboratory Demographics

CLIA Number: 02D1096975

Facility Name: PRIMROSE SENIOR HOLDINGS, LLC

Facility Address:
889 NORTH ELKHORN DRIVE
WASILLA, AK
ZIP 99654
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Facility Phone Number: 907 373-5500

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1467696641

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	02D1096975
LAB Type	Assisted Living Facility
Facility Name	PRIMROSE SENIOR HOLDINGS, LLC
Street	889 NORTH ELKHORN DRIVE
City	WASILLA
State	AK
ZIP	99654
Phone	907 373-5500
CertificateType	4
CertificateEffectiveDate	3/16/2023
CertificateExpirationDate	3/15/2025
FacilityType	Waiver

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