02D2012660 CLIA NUMBER - ANCHORAGE SURGICENTER, LLC SURGERY CENTER OF ANCHORAGE

Laboratory Demographics

  • CLIA Code: 02D2012660
  • Facility Name: ANCHORAGE SURGICENTER, LLC SURGERY CENTER OF ANCHORAGE
  • Facility Address: 4001 LAUREL ST SUITE A
    ANCHORAGE, AK
    ZIP 99508
  • Facility Phone: 907 563-1800
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: IRNA OTTE
  • NPI Number: 1144612714
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 02D2012660
LAB Type Ambulatory Surgery Center
Facility Name ANCHORAGE SURGICENTER, LLC SURGERY CENTER OF ANCHORAGE
Street 4001 LAUREL ST SUITE A
City ANCHORAGE
State AK
ZIP 99508
Phone 907 563-1800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2024
Certificate Expiration Date 9/7/2026
Facility Type Ambulatory Surgery Center
Lab Director IRNA OTTE

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