02D2006581 CLIA NUMBER - HERITAGE FAMILY MEDICINE

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Laboratory Demographics

CLIA Number: 02D2006581

Facility Name: HERITAGE FAMILY MEDICINE

Facility Address:
4961 E MAYFLOWER LANE
WASILLA, AK
ZIP 99654
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Facility Phone Number: (907) 357-3496

Facility Type: PHYSICIAN OFFICE

Certificate Type: Microscopy

NPI Number: 1699004853

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	02D2006581
LAB Type	PHYSICIAN OFFICE
Facility Name	HERITAGE FAMILY MEDICINE
Street	4961 E MAYFLOWER LANE
City	WASILLA
State	AK
ZIP	99654
Phone	(907) 357-3496

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