02D2058715 CLIA NUMBER - ALASKA KIDNEY AND DIABETES ASSOCIATES

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Laboratory Demographics

CLIA Number: 02D2058715

Facility Name: ALASKA KIDNEY AND DIABETES ASSOCIATES

Facility Address:
1200 AIRPORT HEIGHTS DRIVE SUITE 330
ANCHORAGE, AK
ZIP 99508
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Facility Phone Number: 907 569-1049

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1619935558

Taxonomy: 207RE0101X - Internal Medicine
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

CLIA Record

Field Name	Field Value
CLIA Number	02D2058715
LAB Type	Physician Office
Facility Name	ALASKA KIDNEY AND DIABETES ASSOCIATES
Street	1200 AIRPORT HEIGHTS DRIVE SUITE 330
City	ANCHORAGE
State	AK
ZIP	99508
Phone	907 569-1049
CertificateType	4
CertificateEffectiveDate	5/10/2023
CertificateExpirationDate	5/9/2025
FacilityType	Waiver

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