02D0869756 CLIA NUMBER - KATMAI ONCOLOGY GROUP

Laboratory Demographics

CLIA Number: 02D0869756

Facility Name: KATMAI ONCOLOGY GROUP

Facility Address:
3851 PIPER STREET, SUITE U340
ANCHORAGE, AK
ZIP 99508
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Facility Phone Number: 907 562-0321

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1821030206

Taxonomy: 207RX0202X - Internal Medicine
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

CLIA Record

Field Name	Field Value
CLIA Number	02D0869756
LAB Type	Physician Office
Facility Name	KATMAI ONCOLOGY GROUP
Street	3851 PIPER STREET, SUITE U340
City	ANCHORAGE
State	AK
ZIP	99508
Phone	907 562-0321
CertificateType	2
CertificateEffectiveDate	1/19/2024
CertificateExpirationDate	1/18/2026
FacilityType	Compliance

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