02D2200303 CLIA NUMBER - ALASKA ONCOLOGY AND HEMATOLOGY, LLC

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Laboratory Demographics

CLIA Number: 02D2200303

Facility Name: ALASKA ONCOLOGY AND HEMATOLOGY, LLC

Facility Address:
2925 DEBARR RD, STE 300
ANCHORAGE, AK
ZIP 99508
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Facility Phone Number: 907 279-3155

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1487713848

Taxonomy: 207RH0003X - Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

CLIA Record

Field Name	Field Value
CLIA Number	02D2200303
LAB Type	Physician Office
Facility Name	ALASKA ONCOLOGY AND HEMATOLOGY, LLC
Street	2925 DEBARR RD, STE 300
City	ANCHORAGE
State	AK
ZIP	99508
Phone	907 279-3155
CertificateType	4
CertificateEffectiveDate	11/13/2022
CertificateExpirationDate	11/12/2024
FacilityType	Waiver

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