02D2031792 CLIA NUMBER - UTUQQANAAT INAAT

Laboratory Demographics

  • CLIA Code: 02D2031792
  • Facility Name: UTUQQANAAT INAAT
  • Facility Address: 436 MISSION STREET KOTZEBUE
    KOTZEBUE, AK
    ZIP 99752
  • Facility Phone: 907 442-7975
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT HERNANDEZ
  • NPI Number: 1518240084
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 02D2031792
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name UTUQQANAAT INAAT
Street 436 MISSION STREET KOTZEBUE
City KOTZEBUE
State AK
ZIP 99752
Phone 907 442-7975
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2023
Certificate Expiration Date 10/26/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. ROBERT HERNANDEZ

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