02D2116900 CLIA NUMBER - SOLSTICE MEDICINE & WELLNESS

Laboratory Demographics

  • CLIA Code: 02D2116900
  • Facility Name: SOLSTICE MEDICINE & WELLNESS
  • Facility Address: 475 RIVERSTONE WAY #2
    FAIRBANKS, AK
    ZIP 99709
  • Facility Phone: 907 456-6334
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. GINA Y. ESCOBAR
  • NPI Number: 1710347349
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 02D2116900
LAB Type Physician Office
Facility Name SOLSTICE MEDICINE & WELLNESS
Street 475 RIVERSTONE WAY #2
City FAIRBANKS
State AK
ZIP 99709
Phone 907 456-6334
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2024
Certificate Expiration Date 8/2/2026
Facility Type Physician Office
Lab Director DR. GINA Y. ESCOBAR

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