02D1031480 CLIA NUMBER - SOUTHCENTRAL FOUNDATION-SATELLITE CLINICS

Laboratory Demographics

CLIA Number: 02D1031480

Facility Name: SOUTHCENTRAL FOUNDATION-SATELLITE CLINICS

Facility Address:
4501 DIPLOMACY DRIVE
ANCHORAGE, AK
ZIP 99508
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Facility Phone Number: (907) 729-4955

Facility Type: OTHER

Certificate Type: Microscopy

NPI Number: 1184678559

Taxonomy: 261QR0400X - Clinic/Center

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

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This page was last updated on: 5/11/2023