02D0939693 CLIA NUMBER - ALASKA HEART INSTITUTE LLC

Laboratory Demographics

CLIA Number: 02D0939693

Facility Name: ALASKA HEART INSTITUTE LLC

Facility Address:
3841 PIPER STREET SUITE T-100
ANCHORAGE, AK
ZIP 99508
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Facility Phone Number: 907 561-3211

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1477891364

Taxonomy: 261QA1903X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	1/29/2024
CertificateExpirationDate	1/28/2026
FacilityType	Waiver

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