02D2015005 CLIA NUMBER - MANIILAQ ASSOCIATION

Laboratory Demographics

  • CLIA Code: 02D2015005
  • Facility Name: MANIILAQ ASSOCIATION
  • Facility Address: 436 5TH AVENUE
    KOTZEBUE, AK
    ZIP 99752
  • Facility Phone: 907 422-3321
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT ONDERS
  • NPI Number: 1205582731
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 02D2015005
LAB Type Hospital
Facility Name MANIILAQ ASSOCIATION
Street 436 5TH AVENUE
City KOTZEBUE
State AK
ZIP 99752
Phone 907 422-3321
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2024
Certificate Expiration Date 10/19/2026
Facility Type Hospital
Lab Director DR. ROBERT ONDERS

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