02D2022391 CLIA NUMBER - ALASKA EYE SURGERY AND LASER CENTER, INC

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Laboratory Demographics

CLIA Number: 02D2022391

Facility Name: ALASKA EYE SURGERY AND LASER CENTER, INC

Facility Address:
235 E 8TH AVE
ANCHORAGE, AK
ZIP 99501
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Facility Phone Number: 907 569-1551

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1912202896

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	02D2022391
LAB Type	Ambulatory Surgery Center
Facility Name	ALASKA EYE SURGERY AND LASER CENTER, INC
Street	235 E 8TH AVE
City	ANCHORAGE
State	AK
ZIP	99501
Phone	907 569-1551
CertificateType	4
CertificateEffectiveDate	4/1/2023
CertificateExpirationDate	3/31/2025
FacilityType	Waiver

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