02D0991092 CLIA NUMBER - ORTHOALASKA

Laboratory Demographics

  • CLIA Code: 02D0991092
  • Facility Name: ORTHOALASKA
  • Facility Address: 4100 LAKE OTIS PARKWAY SUITE 100
    ANCHORAGE, AK
    ZIP 99508
  • Facility Phone: 907 562-1234
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. ERIC J. MIKNICH
  • NPI Number: 1871529990
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 02D0991092
LAB Type Physician Office
Facility Name ORTHOALASKA
Street 4100 LAKE OTIS PARKWAY SUITE 100
City ANCHORAGE
State AK
ZIP 99508
Phone 907 562-1234
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 9/11/2025
Certificate Expiration Date 9/10/2027
Facility Type Physician Office
Lab Director DR. ERIC J. MIKNICH

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