02D2162874 CLIA NUMBER - ODYSSEY FAMILY PRACTICE, LLC

Laboratory Demographics

CLIA Number: 02D2162874

Facility Name: ODYSSEY FAMILY PRACTICE, LLC

Facility Address:
11595 KENAI SPUR HIGHWAY
KENAI, AK
ZIP 99611
Get Directions

Facility Phone Number: (907) 313-4569

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1780142042

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	02D2162874
LAB Type	PHYSICIAN OFFICE
Facility Name	ODYSSEY FAMILY PRACTICE, LLC
Street	11595 KENAI SPUR HIGHWAY
City	KENAI
State	AK
ZIP	99611
Phone	(907) 313-4569

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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