02D0640489 CLIA NUMBER - PLANNED PARENTHOOD OF THE GREAT NW HAWAII, ALASKA, INDIANA, KENTUCKY

Laboratory Demographics

  • CLIA Code: 02D0640489
  • Facility Name: PLANNED PARENTHOOD OF THE GREAT NW HAWAII, ALASKA, INDIANA, KENTUCKY
  • Facility Address: 4001 LAKE OTIS PARKWAY, STE 101
    ANCHORAGE, AK
    ZIP 99508
  • Facility Phone: 206 290-8012
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: DR. DEBORAH NUCATOLA
  • NPI Number: 1962804518
  • Taxonomy: 363LW0102X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 02D0640489
LAB Type Practitioner Other
Facility Name PLANNED PARENTHOOD OF THE GREAT NW HAWAII, ALASKA, INDIANA, KENTUCKY
Street 4001 LAKE OTIS PARKWAY, STE 101
City ANCHORAGE
State AK
ZIP 99508
Phone 206 290-8012
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/10/2025
Certificate Expiration Date 1/9/2027
Facility Type Practitioner Other
Lab Director DR. DEBORAH NUCATOLA

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