02D0926800 CLIA NUMBER - PACIFIC CATARACT AND LASER INSTITUTE

Laboratory Demographics

CLIA Number: 02D0926800

Facility Name: PACIFIC CATARACT AND LASER INSTITUTE

Facility Address:
1600 A STREET SUITE 200
ANCHORAGE, AK
ZIP 99501
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Facility Phone Number: 907 272-2423

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1548213077

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	02D0926800
LAB Type	Ambulatory Surgery Center
Facility Name	PACIFIC CATARACT AND LASER INSTITUTE
Street	1600 A STREET SUITE 200
City	ANCHORAGE
State	AK
ZIP	99501
Phone	907 272-2423
CertificateType	4
CertificateEffectiveDate	4/1/2023
CertificateExpirationDate	3/31/2025
FacilityType	Waiver

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