02D1089823 CLIA NUMBER - LIBERTY DIALYSIS-ALASKA LLC

Laboratory Demographics

CLIA Number: 02D1089823

Facility Name: LIBERTY DIALYSIS-ALASKA LLC

Facility Address:
901 EAST DIMOND BLVD, SUITE G
ANCHORAGE, AK
ZIP 99515
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Facility Phone Number: (206) 236-5001

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1134465206

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	02D1089823
LAB Type	END STAGE RENAL DISEASE DIALYSIS
Facility Name	LIBERTY DIALYSIS-ALASKA LLC
Street	901 EAST DIMOND BLVD, SUITE G
City	ANCHORAGE
State	AK
ZIP	99515
Phone	(206) 236-5001

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This page was last updated on: 5/11/2023