02D1031480 CLIA NUMBER - SOUTHCENTRAL FOUNDATION-SATELLITE CLINICS

Laboratory Demographics

  • CLIA Code: 02D1031480
  • Facility Name: SOUTHCENTRAL FOUNDATION-SATELLITE CLINICS
  • Facility Address: 4501 DIPLOMACY DRIVE
    ANCHORAGE, AK
    ZIP 99508
  • Facility Phone: 907 729-4955
  • Facility Type: Other
  • Facility Type: Microscopy
  • Lab Director: DR. DONNA GALBREATH
  • NPI Number: 1184678559
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 02D1031480
LAB Type Other
Facility Name SOUTHCENTRAL FOUNDATION-SATELLITE CLINICS
Street 4501 DIPLOMACY DRIVE
City ANCHORAGE
State AK
ZIP 99508
Phone 907 729-4955
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 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Other
Lab Director DR. DONNA GALBREATH

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