02D0887711 CLIA NUMBER - THEODORE BARTON MD

Laboratory Demographics

  • CLIA Code: 02D0887711
  • Facility Name: THEODORE BARTON MD
  • Facility Address: 35670 KENAI SPUR HWY SUITE 101A
    SOLDOTNA, AK
    ZIP 99669
  • Facility Phone: 907 262-2602
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: THEODORE D. BARTON
  • NPI Number: 1417985250
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 02D0887711
LAB Type Physician Office
Facility Name THEODORE BARTON MD
Street 35670 KENAI SPUR HWY SUITE 101A
City SOLDOTNA
State AK
ZIP 99669
Phone 907 262-2602
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/16/2024
Certificate Expiration Date 6/15/2026
Facility Type Physician Office
Lab Director THEODORE D. BARTON

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