02D1102014 CLIA NUMBER - LATOUCHE PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 02D1102014
  • Facility Name: LATOUCHE PEDIATRICS LLC
  • Facility Address: 17101 SMOWMOBILE LANE
    EAGLE RIVER, AK
    ZIP 99577
  • Facility Phone: 907 562-2120
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ADRIAN FURMAN
  • NPI Number: 1780221127
  • Taxonomy: 261QM0855X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 02D1102014
LAB Type Physician Office
Facility Name LATOUCHE PEDIATRICS LLC
Street 17101 SMOWMOBILE LANE
City EAGLE RIVER
State AK
ZIP 99577
Phone 907 562-2120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type Physician Office
Lab Director DR. ADRIAN FURMAN

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