02D2002742 CLIA NUMBER - SOUTHEAST ALASKA SURGERY CENTER

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Laboratory Demographics

CLIA Number: 02D2002742

Facility Name: SOUTHEAST ALASKA SURGERY CENTER

Facility Address:
3200 HOSPITAL DRIVE, SUITE 100
JUNEAU, AK
ZIP 99801
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Facility Phone Number: 907 523-5962

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1821327560

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	02D2002742
LAB Type	Ambulatory Surgery Center
Facility Name	SOUTHEAST ALASKA SURGERY CENTER
Street	3200 HOSPITAL DRIVE, SUITE 100
City	JUNEAU
State	AK
ZIP	99801
Phone	907 523-5962
CertificateType	4
CertificateEffectiveDate	1/25/2024
CertificateExpirationDate	1/24/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024