02D2182484 CLIA NUMBER - ISLAND PHARMACY

Laboratory Demographics

  • CLIA Code: 02D2182484
  • Facility Name: ISLAND PHARMACY
  • Facility Address: 3526 TONGASS AVE
    KETCHIKAN, AK
    ZIP 99901
  • Facility Phone: 907 225-6186
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BARRY D. CHRISTENSEN
  • NPI Number: 1881776664
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 02D2182484
LAB Type Pharmacy
Facility Name ISLAND PHARMACY
Street 3526 TONGASS AVE
City KETCHIKAN
State AK
ZIP 99901
Phone 907 225-6186
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2024
Certificate Expiration Date 4/21/2026
Facility Type Pharmacy
Lab Director BARRY D. CHRISTENSEN

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This page was last updated on: 9/29/2025