02D2219265 CLIA NUMBER - KODIAK ISLAND BOROUGH SCHOOL DISTRICT

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Laboratory Demographics

CLIA Number: 02D2219265

Facility Name: KODIAK ISLAND BOROUGH SCHOOL DISTRICT

Facility Address:
722 MILL BAY ROAD
KODIAK, AK
ZIP 99615
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Facility Phone Number: (907) 486-7501

Facility Type: SCHOOL/STUDENT HEALTH SERVICE

Certificate Type: Waiver

NPI Number: 1770529794

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	02D2219265
LAB Type	SCHOOL/STUDENT HEALTH SERVICE
Facility Name	KODIAK ISLAND BOROUGH SCHOOL DISTRICT
Street	722 MILL BAY ROAD
City	KODIAK
State	AK
ZIP	99615
Phone	(907) 486-7501

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This page was last updated on: 5/11/2023