02D1005230 CLIA NUMBER - JOHN R OLIVER, MD, PC

Laboratory Demographics

  • CLIA Code: 02D1005230
  • Facility Name: JOHN R OLIVER, MD, PC
  • Facility Address: 3750 E COUNTRY FIELD CIRCLE, #D
    WASILLA, AK
    ZIP 99654
  • Facility Phone: 907 357-6121
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOHN R. OLIVER
  • NPI Number: 1093778029
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 02D1005230
LAB Type Physician Office
Facility Name JOHN R OLIVER, MD, PC
Street 3750 E COUNTRY FIELD CIRCLE, #D
City WASILLA
State AK
ZIP 99654
Phone 907 357-6121
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 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Physician Office
Lab Director JOHN R. OLIVER

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