02D0687680 CLIA NUMBER - ALASKA INTERNAL MEDICINE & PEDIATRICS

Laboratory Demographics

CLIA Number: 02D0687680

Facility Name: ALASKA INTERNAL MEDICINE & PEDIATRICS

Facility Address:
4048 LAUREL STREET SUITE 306
ANCHORAGE, AK
ZIP 99508
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Facility Phone Number: (907) 770-7800

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1366580912

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	02D0687680
LAB Type	PHYSICIAN OFFICE
Facility Name	ALASKA INTERNAL MEDICINE & PEDIATRICS
Street	4048 LAUREL STREET SUITE 306
City	ANCHORAGE
State	AK
ZIP	99508
Phone	(907) 770-7800

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This page was last updated on: 5/11/2023