02D2173950 CLIA NUMBER - ERIC NORDSTROM, DDS, MD, INC

Laboratory Demographics

  • CLIA Code: 02D2173950
  • Facility Name: ERIC NORDSTROM, DDS, MD, INC
  • Facility Address: 3909 ARCTIC BLVD, SUITE 404
    ANCHORAGE, AK
    ZIP 99503
  • Facility Phone: 907 222-5052
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DR. ERIC M. NORDSTROM
  • NPI Number: 1285410340
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 02D2173950
LAB Type Practitioner Other
Facility Name ERIC NORDSTROM, DDS, MD, INC
Street 3909 ARCTIC BLVD, SUITE 404
City ANCHORAGE
State AK
ZIP 99503
Phone 907 222-5052
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2025
Certificate Expiration Date 10/21/2027
Facility Type Practitioner Other
Lab Director DR. ERIC M. NORDSTROM

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