02D0711633 CLIA NUMBER - KATHY J HURLBURT, MD

Laboratory Demographics

  • CLIA Code: 02D0711633
  • Facility Name: KATHY J HURLBURT, MD
  • Facility Address: 3220 PROVIDENCE DR, SUITE E3-040
    ANCHORAGE, AK
    ZIP 99508
  • Facility Phone: 907 278-2880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KATHY J. HURLBURT, MD
  • NPI Number: 1184725079
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 02D0711633
LAB Type Physician Office
Facility Name KATHY J HURLBURT, MD
Street 3220 PROVIDENCE DR, SUITE E3-040
City ANCHORAGE
State AK
ZIP 99508
Phone 907 278-2880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director KATHY J. HURLBURT, MD

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