02D2236825 CLIA NUMBER - CINDY AND VIC'S R&R, INC

Laboratory Demographics

CLIA Number: 02D2236825

Facility Name: CINDY AND VIC'S R&R, INC

Facility Address:
3401 E 42ND AVE, STE 101
ANCHORAGE, AK
ZIP 99508
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Facility Phone Number: 907 230-3618

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1124315080

Taxonomy: 385HR2060X - Respite Care
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.

CLIA Record

Field Name	Field Value
CLIA Number	02D2236825
LAB Type	Assisted Living Facility
Facility Name	CINDY AND VIC'S R&R, INC
Street	3401 E 42ND AVE, STE 101
City	ANCHORAGE
State	AK
ZIP	99508
Phone	907 230-3618
CertificateType	4
CertificateEffectiveDate	9/20/2023
CertificateExpirationDate	9/19/2025
FacilityType	Waiver

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