02D0939693 CLIA NUMBER - ALASKA HEART INSTITUTE LLC

Laboratory Demographics

  • CLIA Code: 02D0939693
  • Facility Name: ALASKA HEART INSTITUTE LLC
  • Facility Address: 3841 PIPER STREET SUITE T-100
    ANCHORAGE, AK
    ZIP 99508
  • Facility Phone: 907 561-3211
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LISA GRAY
  • NPI Number: 1477891364
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 02D0939693
LAB Type Physician Office
Facility Name ALASKA HEART INSTITUTE LLC
Street 3841 PIPER STREET SUITE T-100
City ANCHORAGE
State AK
ZIP 99508
Phone 907 561-3211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2024
Certificate Expiration Date 1/28/2026
Facility Type Physician Office
Lab Director DR. LISA GRAY

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