02D2148061 CLIA NUMBER - MOUNTAIN VIEW URGENT CARE

Laboratory Demographics

  • CLIA Code: 02D2148061
  • Facility Name: MOUNTAIN VIEW URGENT CARE
  • Facility Address: 3521 MOUNTAIN VIEW DRIVE
    ANCHORAGE, AK
    ZIP 99508
  • Facility Phone: 907 868-1105
  • Facility Type: Other - URGENT CARE CENTER
  • Facility Type: Microscopy
  • Lab Director: DR. JONATHAN M. VAN RAVENSWAAY
  • NPI Number: 1346777505
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 02D2148061
LAB Type Other - URGENT CARE CENTER
Facility Name MOUNTAIN VIEW URGENT CARE
Street 3521 MOUNTAIN VIEW DRIVE
City ANCHORAGE
State AK
ZIP 99508
Phone 907 868-1105
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 5/2/2024
Certificate Expiration Date 5/1/2026
Facility Type Other - URGENT CARE CENTER
Lab Director DR. JONATHAN M. VAN RAVENSWAAY

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