02D1020555 CLIA NUMBER - ROBERT G THOMPSON MD

Laboratory Demographics

  • CLIA Code: 02D1020555
  • Facility Name: ROBERT G THOMPSON MD
  • Facility Address: 188 WEST MARYDALE AVENUE
    SOLDOTNA, AK
    ZIP 99669
  • Facility Phone: 907 260-6914
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT G. THOMPSON MD
  • NPI Number: 1265590293
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 02D1020555
LAB Type Physician Office
Facility Name ROBERT G THOMPSON MD
Street 188 WEST MARYDALE AVENUE
City SOLDOTNA
State AK
ZIP 99669
Phone 907 260-6914
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2024
Certificate Expiration Date 11/2/2026
Facility Type Physician Office
Lab Director ROBERT G. THOMPSON MD

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