02D2046936 CLIA NUMBER - CHIEF ANDREW ISAAC HEALTH CENTER LABORATORY

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Laboratory Demographics

CLIA Number: 02D2046936

Facility Name: CHIEF ANDREW ISAAC HEALTH CENTER LABORATORY

Facility Address:
1717 WEST COWLES STREET
FAIRBANKS, AK
ZIP 99701
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Facility Phone Number: 907 452-8251

Facility Type: Community Clinic

Certificate Type: Accreditation

NPI Number: 1083258677

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	02D2046936
LAB Type	Community Clinic
Facility Name	CHIEF ANDREW ISAAC HEALTH CENTER LABORATORY
Street	1717 WEST COWLES STREET
City	FAIRBANKS
State	AK
ZIP	99701
Phone	907 452-8251
CertificateType	1
CertificateEffectiveDate	7/17/2023
CertificateExpirationDate	7/16/2025
FacilityType	Accreditation

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