02D2259552 CLIA NUMBER - PIVOTAL CARE PARTNERSHIP

Laboratory Demographics

CLIA Number: 02D2259552

Facility Name: PIVOTAL CARE PARTNERSHIP

Facility Address:
1200 AIRPORT HEIGHTS DR, STE 240
ANCHORAGE, AK
ZIP 99508
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Facility Phone Number: 907 375-2025

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1811596026

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	02D2259552
LAB Type	Physician Office
Facility Name	PIVOTAL CARE PARTNERSHIP
Street	1200 AIRPORT HEIGHTS DR, STE 240
City	ANCHORAGE
State	AK
ZIP	99508
Phone	907 375-2025
CertificateType	4
CertificateEffectiveDate	5/7/2022
CertificateExpirationDate	5/6/2024
FacilityType	Waiver

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