02D2299670 CLIA NUMBER - LONGSHIP NURSING AND CONSULTING, LLC

Laboratory Demographics

  • CLIA Code: 02D2299670
  • Facility Name: LONGSHIP NURSING AND CONSULTING, LLC
  • Facility Address: 11723 OLD GLENN HWY, STE 213
    EAGLE RIVER, AK
    ZIP 99577
  • Facility Phone: 907 854-6877
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDREA LEWIS
  • NPI Number: 1699466045
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 02D2299670
LAB Type Physician Office
Facility Name LONGSHIP NURSING AND CONSULTING, LLC
Street 11723 OLD GLENN HWY, STE 213
City EAGLE RIVER
State AK
ZIP 99577
Phone 907 854-6877
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2024
Certificate Expiration Date 2/22/2026
Facility Type Physician Office
Lab Director ANDREA LEWIS

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This page was last updated on: 9/29/2025