02D2147529 CLIA NUMBER - HAVEN MIDWIFERY AND BIRTH CENTER

Laboratory Demographics

CLIA Number: 02D2147529

Facility Name: HAVEN MIDWIFERY AND BIRTH CENTER

Facility Address:
4050 LAKE OTIS PARKWAY, STE 111
ANCHORAGE, AK
ZIP 99508
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Facility Phone Number: 907 444-3027

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1497251789

Taxonomy: 261QB0400X - Clinic/Center
A freestanding birth center is a health facility other than a hospital where childbirth is planned to occur away from the pregnant woman's residence, and that provides prenatal, labor and delivery, and postpartum care, as well as other ambulatory services for women and newborns.

CLIA Record

Field Name	Field Value
CLIA Number	02D2147529
LAB Type	Practitioner Other
Facility Name	HAVEN MIDWIFERY AND BIRTH CENTER
Street	4050 LAKE OTIS PARKWAY, STE 111
City	ANCHORAGE
State	AK
ZIP	99508
Phone	907 444-3027
CertificateType	4
CertificateEffectiveDate	4/20/2024
CertificateExpirationDate	4/19/2026
FacilityType	Waiver

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