02D2194819 CLIA NUMBER - KENAI PENINSULA BOROUGH SCHOOL DISTRICT

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Laboratory Demographics

CLIA Number: 02D2194819

Facility Name: KENAI PENINSULA BOROUGH SCHOOL DISTRICT

Facility Address:
148 NORTH BINKELY
SOLDOTNA, AK
ZIP 99669
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Facility Phone Number: 907 260-2390

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1003339334

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	02D2194819
LAB Type	School/Student Health Service
Facility Name	KENAI PENINSULA BOROUGH SCHOOL DISTRICT
Street	148 NORTH BINKELY
City	SOLDOTNA
State	AK
ZIP	99669
Phone	907 260-2390
CertificateType	4
CertificateEffectiveDate	10/3/2022
CertificateExpirationDate	10/2/2024
FacilityType	Waiver

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