02D2284825 CLIA NUMBER - JUNEAU WOMEN'S HEALTH

Laboratory Demographics

CLIA Number: 02D2284825

Facility Name: JUNEAU WOMEN'S HEALTH

Facility Address:
1601 SALMON CREEK LANE, STE 3
JUNEAU, AK
ZIP 99801
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Facility Phone Number: 907 723-8222

Facility Type: Other - NURSE PRACTITIONER

Certificate Type: Microscopy

NPI Number: 1710681382

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	02D2284825
LAB Type	Other - NURSE PRACTITIONER
Facility Name	JUNEAU WOMEN'S HEALTH
Street	1601 SALMON CREEK LANE, STE 3
City	JUNEAU
State	AK
ZIP	99801
Phone	907 723-8222
CertificateType	3
CertificateEffectiveDate	6/29/2023
CertificateExpirationDate	6/28/2025
FacilityType	PPMP

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