02D0869756 CLIA NUMBER - KATMAI ONCOLOGY GROUP

Laboratory Demographics

  • CLIA Code: 02D0869756
  • Facility Name: KATMAI ONCOLOGY GROUP
  • Facility Address: 3851 PIPER STREET, SUITE U340
    ANCHORAGE, AK
    ZIP 99508
  • Facility Phone: 907 562-0321
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MARIAH A. JACKSON
  • NPI Number: 1821030206
  • Taxonomy: 207RX0202X - Internal Medicine

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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
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/19/2024
Certificate Expiration Date 1/18/2026
Facility Type Physician Office
Lab Director MARIAH A. JACKSON

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