02D0640642 CLIA NUMBER - ALASKA UROLOGY, LLC

Laboratory Demographics

CLIA Number: 02D0640642

Facility Name: ALASKA UROLOGY, LLC

Facility Address:
3841 PIPER STREET, SUITE T300
ANCHORAGE, AK
ZIP 99508
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Facility Phone Number: 907 563-3103

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1073549507

Taxonomy: 208800000X - Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

CLIA Record

Field Name Field Value
CLIA Number 02D0640642
LAB Type Physician Office
Facility Name ALASKA UROLOGY, LLC
Street 3841 PIPER STREET, SUITE T300
City ANCHORAGE
State AK
ZIP 99508
Phone 907 563-3103
CertificateType 3
CertificateEffectiveDate 2/28/2023
CertificateExpirationDate 2/27/2025
FacilityType PPMP

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