02D2053238 CLIA NUMBER - WALGREENS #13449

Laboratory Demographics

  • CLIA Code: 02D2053238
  • Facility Name: WALGREENS #13449
  • Facility Address: 12405 BRANDON ST
    ANCHORAGE, AK
    ZIP 99515
  • Facility Phone: 907 646-4023
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NATHAN P. MACINTYRE
  • NPI Number: 1679880694
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 02D2053238
LAB Type Pharmacy
Facility Name WALGREENS #13449
Street 12405 BRANDON ST
City ANCHORAGE
State AK
ZIP 99515
Phone 907 646-4023
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2025
Certificate Expiration Date 10/5/2027
Facility Type Pharmacy
Lab Director NATHAN P. MACINTYRE

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