02D2082877 CLIA NUMBER - WALGREENS #15653

Laboratory Demographics

  • CLIA Code: 02D2082877
  • Facility Name: WALGREENS #15653
  • Facility Address: 4353 LAKE OTIS PKWY
    ANCHORAGE, AK
    ZIP 99508
  • Facility Phone: 907 561-2005
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: YONG S. LEE
  • NPI Number: 1760884969
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 02D2082877
LAB Type Pharmacy
Facility Name WALGREENS #15653
Street 4353 LAKE OTIS PKWY
City ANCHORAGE
State AK
ZIP 99508
Phone 907 561-2005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2025
Certificate Expiration Date 4/2/2027
Facility Type Pharmacy
Lab Director YONG S. LEE

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