02D2082377 CLIA NUMBER - CARRS PHARMACY #1802

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Laboratory Demographics

CLIA Number: 02D2082377

Facility Name: CARRS PHARMACY #1802

Facility Address:
1340 GAMBELL ST
ANCHORAGE, AK
ZIP 99501
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Facility Phone Number: 907 339-0260

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1669401600

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	02D2082377
LAB Type	Pharmacy
Facility Name	CARRS PHARMACY #1802
Street	1340 GAMBELL ST
City	ANCHORAGE
State	AK
ZIP	99501
Phone	907 339-0260
CertificateType	4
CertificateEffectiveDate	8/13/2022
CertificateExpirationDate	8/12/2024
FacilityType	Waiver

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