02D1050441 CLIA NUMBER - TRUE NORTH MEDICINE LLC

Laboratory Demographics

  • CLIA Code: 02D1050441
  • Facility Name: TRUE NORTH MEDICINE LLC
  • Facility Address: 12641 OLD GLENN HIGHWAY, SUITE 102
    EAGLE RIVER, AK
    ZIP 99577
  • Facility Phone: 907 696-8783
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT D. SKALA
  • NPI Number: 1588702096
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 02D1050441
LAB Type Physician Office
Facility Name TRUE NORTH MEDICINE LLC
Street 12641 OLD GLENN HIGHWAY, SUITE 102
City EAGLE RIVER
State AK
ZIP 99577
Phone 907 696-8783
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2024
Certificate Expiration Date 2/2/2026
Facility Type Physician Office
Lab Director DR. ROBERT D. SKALA

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