02D2262721 CLIA NUMBER - ALASKIN DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 02D2262721
  • Facility Name: ALASKIN DERMATOLOGY
  • Facility Address: 12350 INDUSTRY WAY, STE 110
    ANCHORAGE, AK
    ZIP 99515
  • Facility Phone: 907 206-9114
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: KIMBERLY KINNEBREW
  • NPI Number: 1790423135
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 02D2262721
LAB Type Practitioner Other
Facility Name ALASKIN DERMATOLOGY
Street 12350 INDUSTRY WAY, STE 110
City ANCHORAGE
State AK
ZIP 99515
Phone 907 206-9114
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 6/16/2024
Certificate Expiration Date 6/15/2026
Facility Type Practitioner Other
Lab Director KIMBERLY KINNEBREW

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