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02D1024455 CLIA NUMBER - ANCHORAGE PEDIATRIC GROUP, LLC

Laboratory Demographics

CLIA Number: 02D1024455

Facility Name: ANCHORAGE PEDIATRIC GROUP, LLC

Facility Address:
3340 PROVIDENCE DRIVE SUITE 500
ANCHORAGE, AK
ZIP 99508
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Facility Phone Number: 907 562-2423

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1538192513

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 02D1024455
LAB Type Physician Office
Facility Name ANCHORAGE PEDIATRIC GROUP, LLC
Street 3340 PROVIDENCE DRIVE SUITE 500
City ANCHORAGE
State AK
ZIP 99508
Phone 907 562-2423
CertificateType 4
CertificateEffectiveDate 4/13/2024
CertificateExpirationDate 4/12/2026
FacilityType Waiver

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