02D2027161 CLIA NUMBER - CENTRAL PENINSULA WOMEN'S HEALTH

Laboratory Demographics

CLIA Number: 02D2027161

Facility Name: CENTRAL PENINSULA WOMEN'S HEALTH

Facility Address:
108 E CORRAL
SOLDOTNA, AK
ZIP 99669
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Facility Phone Number: 907 714-5300

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1598063539

Taxonomy: 282NR1301X - General Acute Care Hospital

CLIA Record

Field Name Field Value
CLIA Number 02D2027161
LAB Type Physician Office
Facility Name CENTRAL PENINSULA WOMEN'S HEALTH
Street 108 E CORRAL
City SOLDOTNA
State AK
ZIP 99669
Phone 907 714-5300
CertificateType 4
CertificateEffectiveDate 8/18/2023
CertificateExpirationDate 8/17/2025
FacilityType Waiver

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