02D2134701 CLIA NUMBER - ERIN ROYAL, MD LLC

Laboratory Demographics

CLIA Number: 02D2134701

Facility Name: ERIN ROYAL, MD LLC

Facility Address:
2841 DEBARR ROAD, SUITE 24
ANCHORAGE, AK
ZIP 99508
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Facility Phone Number: 907 279-4953

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1114238599

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	02D2134701
LAB Type	Physician Office
Facility Name	ERIN ROYAL, MD LLC
Street	2841 DEBARR ROAD, SUITE 24
City	ANCHORAGE
State	AK
ZIP	99508
Phone	907 279-4953
CertificateType	4
CertificateEffectiveDate	8/8/2023
CertificateExpirationDate	8/7/2025
FacilityType	Waiver

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