02D1079835 CLIA NUMBER - CENTENNIAL POST ACUTE

Laboratory Demographics

  • CLIA Code: 02D1079835
  • Facility Name: CENTENNIAL POST ACUTE
  • Facility Address: 9100 CENTENNIAL CIRCLE
    ANCHORAGE, AK
    ZIP 99504
  • Facility Phone: 503 252-0241
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. DANIEL TIEVA
  • NPI Number: 1801021290
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 02D1079835
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CENTENNIAL POST ACUTE
Street 9100 CENTENNIAL CIRCLE
City ANCHORAGE
State AK
ZIP 99504
Phone 503 252-0241
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. DANIEL TIEVA

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