02D2102099 CLIA NUMBER - TUDOR DIALYSIS

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Laboratory Demographics

CLIA Number: 02D2102099

Facility Name: TUDOR DIALYSIS

Facility Address:
2735 E TUDOR ROAD
ANCHORAGE, AK
ZIP 99507
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Facility Phone Number: (907) 562-1546

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1639554017

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	02D2102099
LAB Type	END STAGE RENAL DISEASE DIALYSIS
Facility Name	TUDOR DIALYSIS
Street	2735 E TUDOR ROAD
City	ANCHORAGE
State	AK
ZIP	99507
Phone	(907) 562-1546

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This page was last updated on: 5/11/2023