02D2136079 CLIA NUMBER - KODIAK AREA NATIVE ASSOCIATION MILL BAY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 02D2136079
  • Facility Name: KODIAK AREA NATIVE ASSOCIATION MILL BAY HEALTH CENTER
  • Facility Address: 2414 MILL BAY ROAD
    KODIAK, AK
    ZIP 99615
  • Facility Phone: 907 486-9800
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: DR. EVAN JONES
  • NPI Number: 1205883907
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 02D2136079
LAB Type Federally Qualified Health Center
Facility Name KODIAK AREA NATIVE ASSOCIATION MILL BAY HEALTH CENTER
Street 2414 MILL BAY ROAD
City KODIAK
State AK
ZIP 99615
Phone 907 486-9800
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Federally Qualified Health Center
Lab Director DR. EVAN JONES

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