02D2154500 CLIA NUMBER - ANCHOR ERUPTION ENTERPRISES, LLC DBA ALGONE ANCHORAGE INTERVENTIONAL PAIN CLINIC

Laboratory Demographics

  • CLIA Code: 02D2154500
  • Facility Name: ANCHOR ERUPTION ENTERPRISES, LLC DBA ALGONE ANCHORAGE INTERVENTIONAL PAIN CLINIC
  • Facility Address: 4001 DALE STREET, SUITE 105
    ANCHORAGE, AK
    ZIP 99508
  • Facility Phone: 907 770-1152
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SHAMSIDEEN MUSA
  • NPI Number: 1700343514
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 02D2154500
LAB Type Physician Office
Facility Name ANCHOR ERUPTION ENTERPRISES, LLC DBA ALGONE ANCHORAGE INTERVENTIONAL PAIN CLINIC
Street 4001 DALE STREET, SUITE 105
City ANCHORAGE
State AK
ZIP 99508
Phone 907 770-1152
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Physician Office
Lab Director DR. SHAMSIDEEN MUSA

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