02D2106257 CLIA NUMBER - ASC NORTH, LLC

Laboratory Demographics

  • CLIA Code: 02D2106257
  • Facility Name: ASC NORTH, LLC
  • Facility Address: 6911 DEBARR ROAD
    ANCHORAGE, AK
    ZIP 99504
  • Facility Phone: 907 770-1084
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. FERNANDO TOVAR
  • NPI Number: 1922464874
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 02D2106257
LAB Type Ambulatory Surgery Center
Facility Name ASC NORTH, LLC
Street 6911 DEBARR ROAD
City ANCHORAGE
State AK
ZIP 99504
Phone 907 770-1084
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2023
Certificate Expiration Date 12/14/2025
Facility Type Ambulatory Surgery Center
Lab Director DR. FERNANDO TOVAR

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