02D1026253 CLIA NUMBER - ALPINE SURGICENTER, LLC

Laboratory Demographics

  • CLIA Code: 02D1026253
  • Facility Name: ALPINE SURGICENTER, LLC
  • Facility Address: 3801 LAKE OTIS PARKWAY, SUITE 100
    ANCHORAGE, AK
    ZIP 99508
  • Facility Phone: 907 563-1555
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DANNA C. GRANT
  • NPI Number: 1316942048
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 02D1026253
LAB Type Ambulatory Surgery Center
Facility Name ALPINE SURGICENTER, LLC
Street 3801 LAKE OTIS PARKWAY, SUITE 100
City ANCHORAGE
State AK
ZIP 99508
Phone 907 563-1555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2024
Certificate Expiration Date 5/27/2026
Facility Type Ambulatory Surgery Center
Lab Director DANNA C. GRANT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025