02D0943068 CLIA NUMBER - ORTHOALASKA

Laboratory Demographics

  • CLIA Code: 02D0943068
  • Facility Name: ORTHOALASKA
  • Facility Address: 17101 SNOWMOBILE LANE STE 102
    EAGLE RIVER, AK
    ZIP 99577
  • Facility Phone: 907 562-1234
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. ERIC J. MIKNICH
  • NPI Number: 1316353766
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 02D0943068
LAB Type Physician Office
Facility Name ORTHOALASKA
Street 17101 SNOWMOBILE LANE STE 102
City EAGLE RIVER
State AK
ZIP 99577
Phone 907 562-1234
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 11/20/2023
Certificate Expiration Date 11/19/2025
Facility Type Physician Office
Lab Director DR. ERIC J. MIKNICH

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