02D2196164 CLIA NUMBER - NARCOTIC DRUG TREATMENT CENTER INC

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Laboratory Demographics

CLIA Number: 02D2196164

Facility Name: NARCOTIC DRUG TREATMENT CENTER INC

Facility Address:
1015 EAST 6TH AVENUE
ANCHORAGE, AK
ZIP 99501
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Facility Phone Number: 907 276-6430

Facility Type: Other - METHADONE CLINIC

Certificate Type: Waiver

NPI Number: 1932244712

Taxonomy: 261QM2800X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

CLIA Record

Field Name	Field Value
CLIA Number	02D2196164
LAB Type	Other - METHADONE CLINIC
Facility Name	NARCOTIC DRUG TREATMENT CENTER INC
Street	1015 EAST 6TH AVENUE
City	ANCHORAGE
State	AK
ZIP	99501
Phone	907 276-6430
CertificateType	4
CertificateEffectiveDate	10/15/2022
CertificateExpirationDate	10/14/2024
FacilityType	Waiver

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