02D2148252 CLIA NUMBER - ALASKA BEHAVIORAL HEALTH

Laboratory Demographics

CLIA Number: 02D2148252

Facility Name: ALASKA BEHAVIORAL HEALTH

Facility Address:
4120 LAUREL ST, 2ND FLOOR
ANCHORAGE, AK
ZIP 99508
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Facility Phone Number: 907 563-1000

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1811513468

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	02D2148252
LAB Type	Physician Office
Facility Name	ALASKA BEHAVIORAL HEALTH
Street	4120 LAUREL ST, 2ND FLOOR
City	ANCHORAGE
State	AK
ZIP	99508
Phone	907 563-1000
CertificateType	4
CertificateEffectiveDate	5/7/2022
CertificateExpirationDate	5/6/2024
FacilityType	Waiver

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