02D2215201 CLIA NUMBER - AURORA PEDIATRICS

Laboratory Demographics

  • CLIA Code: 02D2215201
  • Facility Name: AURORA PEDIATRICS
  • Facility Address: 4200 LAKE OTIS PKWY, #102
    ANCHORAGE, AK
    ZIP 99508
  • Facility Phone: 907 885-4337
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JODYNE L. BUTTO
  • NPI Number: 1912592049
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 02D2215201
LAB Type Physician Office
Facility Name AURORA PEDIATRICS
Street 4200 LAKE OTIS PKWY, #102
City ANCHORAGE
State AK
ZIP 99508
Phone 907 885-4337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2025
Certificate Expiration Date 2/28/2027
Facility Type Physician Office
Lab Director DR. JODYNE L. BUTTO

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