02D2155348 CLIA NUMBER - JETT MORGAN TREATMENT SERVICES, LLC

Laboratory Demographics

CLIA Number: 02D2155348

Facility Name: JETT MORGAN TREATMENT SERVICES, LLC

Facility Address:
400 W TUDOR RD, SUITE A-400
ANCHORAGE, AK
ZIP 99503
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Facility Phone Number: (907) 677-7709

Facility Type: COMPREHENSIVE OUTPATIENT REHAB

Certificate Type: Waiver

NPI Number: 1184911851

Taxonomy: 261QM0850X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

CLIA Record

Field Name	Field Value
CLIA Number	02D2155348
LAB Type	COMPREHENSIVE OUTPATIENT REHAB
Facility Name	JETT MORGAN TREATMENT SERVICES, LLC
Street	400 W TUDOR RD, SUITE A-400
City	ANCHORAGE
State	AK
ZIP	99503
Phone	(907) 677-7709

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This page was last updated on: 5/11/2023