02D2223874 CLIA NUMBER - ALASKA MEDICAL TRANSPORT

Laboratory Demographics

CLIA Number: 02D2223874

Facility Name: ALASKA MEDICAL TRANSPORT

Facility Address:
151 W 100TH AVE
ANCHORAGE, AK
ZIP 99515
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Facility Phone Number: 907 222-2600

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1790087534

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	02D2223874
LAB Type	Ambulance
Facility Name	ALASKA MEDICAL TRANSPORT
Street	151 W 100TH AVE
City	ANCHORAGE
State	AK
ZIP	99515
Phone	907 222-2600
CertificateType	4
CertificateEffectiveDate	5/10/2023
CertificateExpirationDate	5/9/2025
FacilityType	Waiver

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