02D0996845 CLIA NUMBER - ALASKA HEART INSTITUTE LLC

Laboratory Demographics

  • CLIA Code: 02D0996845
  • Facility Name: ALASKA HEART INSTITUTE LLC
  • Facility Address: 3125 E MERIDIAN PARK LOOP, STE 200
    WASILLA, AK
    ZIP 99654
  • Facility Phone: 907 761-5470
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LISA GRAY
  • NPI Number: 1306349667
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 02D0996845
LAB Type Physician Office
Facility Name ALASKA HEART INSTITUTE LLC
Street 3125 E MERIDIAN PARK LOOP, STE 200
City WASILLA
State AK
ZIP 99654
Phone 907 761-5470
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2024
Certificate Expiration Date 2/26/2026
Facility Type Physician Office
Lab Director DR. LISA GRAY

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