02D0640731 CLIA NUMBER - CHILDREN'S CLINIC, INC,THE

Laboratory Demographics

  • CLIA Code: 02D0640731
  • Facility Name: CHILDREN'S CLINIC, INC,THE
  • Facility Address: 4001 DALE ST SUITE 213
    ANCHORAGE, AK
    ZIP 99508
  • Facility Phone: 907 562-2944
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL TULIP
  • NPI Number: 1528209079
  • Taxonomy: 2251P0200X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 02D0640731
LAB Type Physician Office
Facility Name CHILDREN'S CLINIC, INC,THE
Street 4001 DALE ST SUITE 213
City ANCHORAGE
State AK
ZIP 99508
Phone 907 562-2944
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2025
Certificate Expiration Date 5/1/2027
Facility Type Physician Office
Lab Director DANIEL TULIP

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