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02D1030635 CLIA NUMBER - SOUTHCENTRAL FOUNDATION - AMBULATORY CLINICS

Laboratory Demographics

CLIA Number: 02D1030635

Facility Name: SOUTHCENTRAL FOUNDATION - AMBULATORY CLINICS

Facility Address:
4501 DIPLOMACY DRIVE
ANCHORAGE, AK
ZIP 99508
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Facility Phone Number: 907 729-1230

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1669681755

Taxonomy: 282N00000X - General Acute Care Hospital
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

CLIA Record

Field Name Field Value
CLIA Number 02D1030635
LAB Type Physician Office
Facility Name SOUTHCENTRAL FOUNDATION - AMBULATORY CLINICS
Street 4501 DIPLOMACY DRIVE
City ANCHORAGE
State AK
ZIP 99508
Phone 907 729-1230
CertificateType 3
CertificateEffectiveDate 4/15/2023
CertificateExpirationDate 4/14/2025
FacilityType PPMP

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