02D2133434 CLIA NUMBER - PTARMIGAN CONNECTIONS

Laboratory Demographics

  • CLIA Code: 02D2133434
  • Facility Name: PTARMIGAN CONNECTIONS
  • Facility Address: 3505 E MERIDIAN PARK LOOP, SUITE 200
    WASILLA, AK
    ZIP 99654
  • Facility Phone: 907 357-4400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ELOWYN M. SMITH
  • NPI Number: 1164942314
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 02D2133434
LAB Type Physician Office
Facility Name PTARMIGAN CONNECTIONS
Street 3505 E MERIDIAN PARK LOOP, SUITE 200
City WASILLA
State AK
ZIP 99654
Phone 907 357-4400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2025
Certificate Expiration Date 7/11/2027
Facility Type Physician Office
Lab Director DR. ELOWYN M. SMITH

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: 9/29/2025