02D2106257 CLIA NUMBER - ASC NORTH, LLC

Laboratory Demographics

CLIA Number: 02D2106257

Facility Name: ASC NORTH, LLC

Facility Address:
6911 DEBARR ROAD
ANCHORAGE, AK
ZIP 99504
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Facility Phone Number: 907 770-1084

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1922464874

Taxonomy: 261QA1903X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	12/15/2023
CertificateExpirationDate	12/14/2025
FacilityType	Waiver

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