02D2119644 CLIA NUMBER - NEUROVERSION INC

Laboratory Demographics

  • CLIA Code: 02D2119644
  • Facility Name: NEUROVERSION INC
  • Facility Address: 2925 DEBARR ROAD, SUITE 240
    ANCHORAGE, AK
    ZIP 99508
  • Facility Phone: 907 339-4650
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LUKE D. LIU
  • NPI Number: 1487102208
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 02D2119644
LAB Type Physician Office
Facility Name NEUROVERSION INC
Street 2925 DEBARR ROAD, SUITE 240
City ANCHORAGE
State AK
ZIP 99508
Phone 907 339-4650
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type Physician Office
Lab Director DR. LUKE D. LIU

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