02D2140751 CLIA NUMBER - K-BEACH MEDICAL

Laboratory Demographics

  • CLIA Code: 02D2140751
  • Facility Name: K-BEACH MEDICAL
  • Facility Address: 43335 K-BEACH ROAD, SUITE18
    SOLDOTNA, AK
    ZIP 99669
  • Facility Phone: 907 262-9993
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT V. MCRORIE
  • NPI Number: 1376066993
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 02D2140751
LAB Type Physician Office
Facility Name K-BEACH MEDICAL
Street 43335 K-BEACH ROAD, SUITE18
City SOLDOTNA
State AK
ZIP 99669
Phone 907 262-9993
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2023
Certificate Expiration Date 11/28/2025
Facility Type Physician Office
Lab Director ROBERT V. MCRORIE

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