02D0640772 CLIA NUMBER - LATOUCHE PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 02D0640772
  • Facility Name: LATOUCHE PEDIATRICS LLC
  • Facility Address: 3340 PROVIDENCE DR SUITE 452
    ANCHORAGE, AK
    ZIP 99508
  • Facility Phone: 907 562-2120
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ADRIAN FURMAN
  • NPI Number: 1457328601
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 02D0640772
LAB Type Physician Office
Facility Name LATOUCHE PEDIATRICS LLC
Street 3340 PROVIDENCE DR SUITE 452
City ANCHORAGE
State AK
ZIP 99508
Phone 907 562-2120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2024
Certificate Expiration Date 2/8/2026
Facility Type Physician Office
Lab Director DR. ADRIAN FURMAN

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