02D2229051 CLIA NUMBER - MEDICAL NETWORK OF ALASKA DBA CAPSTONE DIABETES AND ENDOCRINOLOGY

Laboratory Demographics

CLIA Number: 02D2229051

Facility Name: MEDICAL NETWORK OF ALASKA DBA CAPSTONE DIABETES AND ENDOCRINOLOGY

Facility Address:
3066 E MERIDIAN PARK LOOP
WASILLA, AK
ZIP 99654
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Facility Phone Number: 907 357-2332

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1013551456

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	02D2229051
LAB Type	Physician Office
Facility Name	MEDICAL NETWORK OF ALASKA DBA CAPSTONE DIABETES AND ENDOCRINOLOGY
Street	3066 E MERIDIAN PARK LOOP
City	WASILLA
State	AK
ZIP	99654
Phone	907 357-2332
CertificateType	4
CertificateEffectiveDate	7/6/2023
CertificateExpirationDate	7/5/2025
FacilityType	Waiver

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