02D2238338 CLIA NUMBER - SPINE AND SPORTS INJURY CENTER, LLC

Laboratory Demographics

CLIA Number: 02D2238338

Facility Name: SPINE AND SPORTS INJURY CENTER, LLC

Facility Address:
1001 E BOGARD RD
WASILLA, AK
ZIP 99654
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Facility Phone Number: (907) 373-2225

Facility Type: PHYSICIAN OFFICE

Certificate Type: Microscopy

NPI Number: 1053690677

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	02D2238338
LAB Type	PHYSICIAN OFFICE
Facility Name	SPINE AND SPORTS INJURY CENTER, LLC
Street	1001 E BOGARD RD
City	WASILLA
State	AK
ZIP	99654
Phone	(907) 373-2225

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