02D2026822 CLIA NUMBER - SOUTH ANCHORAGE SURGERY CENTER, LLC

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Laboratory Demographics

CLIA Number: 02D2026822

Facility Name: SOUTH ANCHORAGE SURGERY CENTER, LLC

Facility Address:
1917 ABBOTT ROAD SUITE 103
ANCHORAGE, AK
ZIP 99507
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Facility Phone Number: (907) 301-4409

Facility Type: AMBULATORY SURGERY CENTER

Certificate Type: Waiver

NPI Number: 1336448968

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	02D2026822
LAB Type	AMBULATORY SURGERY CENTER
Facility Name	SOUTH ANCHORAGE SURGERY CENTER, LLC
Street	1917 ABBOTT ROAD SUITE 103
City	ANCHORAGE
State	AK
ZIP	99507
Phone	(907) 301-4409

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This page was last updated on: 5/11/2023