02D1020557 CLIA NUMBER - DENALI OB GYN CLINIC

Laboratory Demographics

  • CLIA Code: 02D1020557
  • Facility Name: DENALI OB GYN CLINIC
  • Facility Address: 3976 UNIVERSITY LAKE DRIVE, STE 300
    ANCHORAGE, AK
    ZIP 99508
  • Facility Phone: 907 222-9930
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. TANYA PASTERNACK
  • NPI Number: 1477623452
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 02D1020557
LAB Type Physician Office
Facility Name DENALI OB GYN CLINIC
Street 3976 UNIVERSITY LAKE DRIVE, STE 300
City ANCHORAGE
State AK
ZIP 99508
Phone 907 222-9930
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 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director DR. TANYA PASTERNACK

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