02D2126565 CLIA NUMBER - BRUCK CLIFT, MD, LLC

Laboratory Demographics

  • CLIA Code: 02D2126565
  • Facility Name: BRUCK CLIFT, MD, LLC
  • Facility Address: 1901 N HEMMER ROAD, SUITE 110
    PALMER, AK
    ZIP 99645
  • Facility Phone: 907 414-0998
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. BRUCK A. CLIFT
  • NPI Number: 1154865228
  • Taxonomy: 261QM2500X - Clinic/Center

Map and Directions

Get Directions

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
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/1/2025
Certificate Expiration Date 2/28/2027
Facility Type Physician Office
Lab Director DR. BRUCK A. CLIFT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025