02D0695647 CLIA NUMBER - ANCHORAGE WOMENS CLINIC AT PROVIDENCE

Laboratory Demographics

CLIA Number: 02D0695647

Facility Name: ANCHORAGE WOMENS CLINIC AT PROVIDENCE

Facility Address:
3260 PROVIDENCE DRIVE STE 425
ANCHORAGE, AK
ZIP 99508
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Facility Phone Number: 907 561-7111

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1265496061

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	02D0695647
LAB Type	Physician Office
Facility Name	ANCHORAGE WOMENS CLINIC AT PROVIDENCE
Street	3260 PROVIDENCE DRIVE STE 425
City	ANCHORAGE
State	AK
ZIP	99508
Phone	907 561-7111
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

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