02D2025663 CLIA NUMBER - FULL SPECTRUM PEDIATRICS, PC

Laboratory Demographics

  • CLIA Code: 02D2025663
  • Facility Name: FULL SPECTRUM PEDIATRICS, PC
  • Facility Address: 2925 DEBARR ROAD, SUITE 125
    ANCHORAGE, AK
    ZIP 99508
  • Facility Phone: 907 677-1864
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. STEPHEN S. BAKER
  • NPI Number: 1639463953
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 02D2025663
LAB Type Physician Office
Facility Name FULL SPECTRUM PEDIATRICS, PC
Street 2925 DEBARR ROAD, SUITE 125
City ANCHORAGE
State AK
ZIP 99508
Phone 907 677-1864
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2025
Certificate Expiration Date 6/13/2027
Facility Type Physician Office
Lab Director DR. STEPHEN S. BAKER

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