02D1018765 CLIA NUMBER - ALASKA DIGESTIVE CENTER

Laboratory Demographics

CLIA Number: 02D1018765

Facility Name: ALASKA DIGESTIVE CENTER

Facility Address:
4048 LAUREL STREET SUITE 103-A
ANCHORAGE, AK
ZIP 99508
Get Directions

Facility Phone Number: 907 563-1750

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1508835299

Taxonomy: 261QA1903X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	10/30/2023
CertificateExpirationDate	10/29/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024