02D2249756 CLIA NUMBER - MT EDGECUMBE HIGH SCHOOL

Laboratory Demographics

CLIA Number: 02D2249756

Facility Name: MT EDGECUMBE HIGH SCHOOL

Facility Address:
1330 SEWARD AVE
SITKA, AK
ZIP 99835
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Facility Phone Number: 907 966-3289

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1952631442

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	02D2249756
LAB Type	School/Student Health Service
Facility Name	MT EDGECUMBE HIGH SCHOOL
Street	1330 SEWARD AVE
City	SITKA
State	AK
ZIP	99835
Phone	907 966-3289
CertificateType	4
CertificateEffectiveDate	1/22/2024
CertificateExpirationDate	1/21/2026
FacilityType	Waiver

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