02D2229549 CLIA NUMBER - MOUNTAINSIDE URGENT CARE SEARHC CARE NETWORK

Laboratory Demographics

CLIA Number: 02D2229549

Facility Name: MOUNTAINSIDE URGENT CARE SEARHC CARE NETWORK

Facility Address:
3225 HOSPITAL DR, STE 102
JUNEAU, AK
ZIP 99801
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Facility Phone Number: 907 966-8468

Facility Type: Other - TRIBAL HEALTH CARE

Certificate Type: Accreditation

NPI Number: 1578132429

Taxonomy: 261QM0855X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

CLIA Record

Field Name	Field Value
CLIA Number	02D2229549
LAB Type	Other - TRIBAL HEALTH CARE
Facility Name	MOUNTAINSIDE URGENT CARE SEARHC CARE NETWORK
Street	3225 HOSPITAL DR, STE 102
City	JUNEAU
State	AK
ZIP	99801
Phone	907 966-8468
CertificateType	1
CertificateEffectiveDate	10/26/2022
CertificateExpirationDate	10/25/2024
FacilityType	Accreditation

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