02D2045610 CLIA NUMBER - AD PARTNERS II, LLC DBA DENALI DIALYSIS CENTER

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Laboratory Demographics

CLIA Number: 02D2045610

Facility Name: AD PARTNERS II, LLC DBA DENALI DIALYSIS CENTER

Facility Address:
360 BONIFACE PARKWAY, SUITE A11
ANCHORAGE, AK
ZIP 99504
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Facility Phone Number: 907 236-5001

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1316206915

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	02D2045610
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	AD PARTNERS II, LLC DBA DENALI DIALYSIS CENTER
Street	360 BONIFACE PARKWAY, SUITE A11
City	ANCHORAGE
State	AK
ZIP	99504
Phone	907 236-5001
CertificateType	4
CertificateEffectiveDate	8/16/2022
CertificateExpirationDate	8/15/2024
FacilityType	Waiver

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