02D1038305 CLIA NUMBER - MATT A HEILALA DPM INC

Laboratory Demographics

  • CLIA Code: 02D1038305
  • Facility Name: MATT A HEILALA DPM INC
  • Facility Address: 2250 E 42ND AVE, STE 200
    ANCHORAGE, AK
    ZIP 99508
  • Facility Phone: 907 569-3668
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATT A. HEILALA
  • NPI Number: 1821135427
  • Taxonomy: 213ES0103X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 02D1038305
LAB Type Physician Office
Facility Name MATT A HEILALA DPM INC
Street 2250 E 42ND AVE, STE 200
City ANCHORAGE
State AK
ZIP 99508
Phone 907 569-3668
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2025
Certificate Expiration Date 3/14/2027
Facility Type Physician Office
Lab Director MATT A. HEILALA

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