02D2168489 CLIA NUMBER - HARBOR HEALTH, LLC

Laboratory Demographics

CLIA Number: 02D2168489

Facility Name: HARBOR HEALTH, LLC

Facility Address:
2201 DUNN ST, SUITE #1
JUNEAU, AK
ZIP 99801
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Facility Phone Number: 907 523-8888

Facility Type: Practitioner Other

Certificate Type: Microscopy

NPI Number: 1477012805

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	02D2168489
LAB Type	Practitioner Other
Facility Name	HARBOR HEALTH, LLC
Street	2201 DUNN ST, SUITE #1
City	JUNEAU
State	AK
ZIP	99801
Phone	907 523-8888
CertificateType	3
CertificateEffectiveDate	7/1/2023
CertificateExpirationDate	6/30/2025
FacilityType	PPMP

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