02D2150557 CLIA NUMBER - MEDEVAC ALASKA, LLC

Laboratory Demographics

  • CLIA Code: 02D2150557
  • Facility Name: MEDEVAC ALASKA, LLC
  • Facility Address: 4011 ARCTIC BLVD, STE 206
    ANCHORAGE, AK
    ZIP 99503
  • Facility Phone: 907 538-1620
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: KATHRINA BUCKMAN
  • NPI Number: 1588165070
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 02D2150557
LAB Type Ambulance
Facility Name MEDEVAC ALASKA, LLC
Street 4011 ARCTIC BLVD, STE 206
City ANCHORAGE
State AK
ZIP 99503
Phone 907 538-1620
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2024
Certificate Expiration Date 6/26/2026
Facility Type Ambulance
Lab Director KATHRINA BUCKMAN

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