02D2184937 CLIA NUMBER - WHALE TAIL PHARMACY

Laboratory Demographics

  • CLIA Code: 02D2184937
  • Facility Name: WHALE TAIL PHARMACY
  • Facility Address: 333 COLD STORAGE RD, STE 103
    CRAIG, AK
    ZIP 99921
  • Facility Phone: 907 826-5750
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JULIE L. MCDONALD
  • NPI Number: 1376577056
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 02D2184937
LAB Type Pharmacy
Facility Name WHALE TAIL PHARMACY
Street 333 COLD STORAGE RD, STE 103
City CRAIG
State AK
ZIP 99921
Phone 907 826-5750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2024
Certificate Expiration Date 5/26/2026
Facility Type Pharmacy
Lab Director JULIE L. MCDONALD

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