02D1073822 CLIA NUMBER - KATY SHERIDAN, MD, PC

Laboratory Demographics

  • CLIA Code: 02D1073822
  • Facility Name: KATY SHERIDAN, MD, PC
  • Facility Address: 154 W MARYDALE AVE
    SOLDOTNA, AK
    ZIP 99669
  • Facility Phone: 907 260-3121
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KATY SHERIDAN
  • NPI Number: 1518983246
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 02D1073822
LAB Type Physician Office
Facility Name KATY SHERIDAN, MD, PC
Street 154 W MARYDALE AVE
City SOLDOTNA
State AK
ZIP 99669
Phone 907 260-3121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2025
Certificate Expiration Date 9/16/2027
Facility Type Physician Office
Lab Director KATY SHERIDAN

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