02D2126565 CLIA NUMBER - BRUCK CLIFT, MD, LLC

Laboratory Demographics

CLIA Number: 02D2126565

Facility Name: BRUCK CLIFT, MD, LLC

Facility Address:
1901 N HEMMER ROAD, SUITE 110
PALMER, AK
ZIP 99645
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Facility Phone Number: 907 414-0998

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1154865228

Taxonomy: 261QM2500X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

CLIA Record

Field Name	Field Value
CLIA Number	02D2126565
LAB Type	Physician Office
Facility Name	BRUCK CLIFT, MD, LLC
Street	1901 N HEMMER ROAD, SUITE 110
City	PALMER
State	AK
ZIP	99645
Phone	907 414-0998
CertificateType	3
CertificateEffectiveDate	3/1/2023
CertificateExpirationDate	2/28/2025
FacilityType	PPMP

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