02D1062435 CLIA NUMBER - KIDNEY & HYPERTENSION CLINIC OF AK,INC

Laboratory Demographics

CLIA Number: 02D1062435

Facility Name: KIDNEY & HYPERTENSION CLINIC OF AK,INC

Facility Address:
4015 LAKE OTIS PARKWAY SUITE101
ANCHORAGE, AK
ZIP 99508
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Facility Phone Number: 907 375-5200

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1932282381

Taxonomy: 207RN0300X - Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

CLIA Record

Field Name	Field Value
CLIA Number	02D1062435
LAB Type	Physician Office
Facility Name	KIDNEY & HYPERTENSION CLINIC OF AK,INC
Street	4015 LAKE OTIS PARKWAY SUITE101
City	ANCHORAGE
State	AK
ZIP	99508
Phone	907 375-5200
CertificateType	4
CertificateEffectiveDate	10/22/2022
CertificateExpirationDate	10/21/2024
FacilityType	Waiver

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