02D2176366 CLIA NUMBER - KATIEOSTROMMD, LLC

Laboratory Demographics

  • CLIA Code: 02D2176366
  • Facility Name: KATIEOSTROMMD, LLC
  • Facility Address: 4129 BARTLETT STREET
    HOMER, AK
    ZIP 99603
  • Facility Phone: 907 435-0555
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. KATHRYN H. OSTROM
  • NPI Number: 1093352502
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 02D2176366
LAB Type Physician Office
Facility Name KATIEOSTROMMD, LLC
Street 4129 BARTLETT STREET
City HOMER
State AK
ZIP 99603
Phone 907 435-0555
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 12/12/2023
Certificate Expiration Date 12/11/2025
Facility Type Physician Office
Lab Director DR. KATHRYN H. OSTROM

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