02D1018765 CLIA NUMBER - ALASKA DIGESTIVE CENTER

Laboratory Demographics

  • CLIA Code: 02D1018765
  • Facility Name: ALASKA DIGESTIVE CENTER
  • Facility Address: 4048 LAUREL STREET SUITE 103-A
    ANCHORAGE, AK
    ZIP 99508
  • Facility Phone: 907 563-1750
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. JEFFREY MOLLOY
  • NPI Number: 1508835299
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 02D1018765
LAB Type Ambulatory Surgery Center
Facility Name ALASKA DIGESTIVE CENTER
Street 4048 LAUREL STREET SUITE 103-A
City ANCHORAGE
State AK
ZIP 99508
Phone 907 563-1750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2023
Certificate Expiration Date 10/29/2025
Facility Type Ambulatory Surgery Center
Lab Director DR. JEFFREY MOLLOY

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