02D1064495 CLIA NUMBER - AURORA KIDNEY LLC

Laboratory Demographics

  • CLIA Code: 02D1064495
  • Facility Name: AURORA KIDNEY LLC
  • Facility Address: 3260 PROVIDENCE DRIVE SUITE 528
    ANCHORAGE, AK
    ZIP 99508
  • Facility Phone: 907 865-6965
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STEFANO EMILI
  • NPI Number: 1659417137
  • Taxonomy: 207RN0300X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 02D1064495
LAB Type Physician Office
Facility Name AURORA KIDNEY LLC
Street 3260 PROVIDENCE DRIVE SUITE 528
City ANCHORAGE
State AK
ZIP 99508
Phone 907 865-6965
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 10/1/2025
Certificate Expiration Date 9/30/2027
Facility Type Physician Office
Lab Director STEFANO EMILI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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