02D2030560 CLIA NUMBER - ALPINE URGENT CARE

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Laboratory Demographics

CLIA Number: 02D2030560

Facility Name: ALPINE URGENT CARE

Facility Address:
1310 EAST DIMOND BLVD, SUITE 1 ATTN JADYN HANSEN
ANCHORAGE, AK
ZIP 99515
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Facility Phone Number: 907 332-2233

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1467720151

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	02D2030560
LAB Type	Physician Office
Facility Name	ALPINE URGENT CARE
Street	1310 EAST DIMOND BLVD, SUITE 1 ATTN JADYN HANSEN
City	ANCHORAGE
State	AK
ZIP	99515
Phone	907 332-2233
CertificateType	4
CertificateEffectiveDate	9/29/2023
CertificateExpirationDate	9/28/2025
FacilityType	Waiver

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