02D0674243 CLIA NUMBER - ORTHOALASKA

Laboratory Demographics

  • CLIA Code: 02D0674243
  • Facility Name: ORTHOALASKA
  • Facility Address: 12350 INDUSTRY WAY SUITE 160
    ANCHORAGE, AK
    ZIP 99515
  • Facility Phone: 907 562-1234
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. ERIC J. MIKNICH
  • NPI Number: 1326602921
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 02D0674243
LAB Type Physician Office
Facility Name ORTHOALASKA
Street 12350 INDUSTRY WAY SUITE 160
City ANCHORAGE
State AK
ZIP 99515
Phone 907 562-1234
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Physician Office
Lab Director DR. ERIC J. MIKNICH

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