02D2063048 CLIA NUMBER - MUNICIPALITY OF ANCHORAGE WIC PROGRAM

Home > CLIA Lookup > 02D2063048

Laboratory Demographics

CLIA Number: 02D2063048

Facility Name: MUNICIPALITY OF ANCHORAGE WIC PROGRAM

Facility Address:
825 L STREET SUITE 251
ANCHORAGE, AK
ZIP 99501
Get Directions

Facility Phone Number: 907 343-4668

Facility Type: Other - WIC PROGRAM SATELLITES

Certificate Type: Waiver

NPI Number: 1023069622

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	02D2063048
LAB Type	Other - WIC PROGRAM SATELLITES
Facility Name	MUNICIPALITY OF ANCHORAGE WIC PROGRAM
Street	825 L STREET SUITE 251
City	ANCHORAGE
State	AK
ZIP	99501
Phone	907 343-4668
CertificateType	4
CertificateEffectiveDate	7/25/2023
CertificateExpirationDate	7/24/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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