02D2190033 CLIA NUMBER - ALASKA ORTHOPEDIC SPECIALISTS, LLC

Laboratory Demographics

CLIA Number: 02D2190033

Facility Name: ALASKA ORTHOPEDIC SPECIALISTS, LLC

Facility Address:
4015 LAKE OTIS PARKWAY, STE 201
ANCHORAGE, AK
ZIP 99508
Get Directions

Facility Phone Number: 907 771-3511

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1992139737

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name Field Value
CLIA Number 02D2190033
LAB Type Physician Office
Facility Name ALASKA ORTHOPEDIC SPECIALISTS, LLC
Street 4015 LAKE OTIS PARKWAY, STE 201
City ANCHORAGE
State AK
ZIP 99508
Phone 907 771-3511
CertificateType 4
CertificateEffectiveDate 8/8/2022
CertificateExpirationDate 8/7/2024
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024