02D2271965 CLIA NUMBER - COASTAL ASC, LLC

Laboratory Demographics

  • CLIA Code: 02D2271965
  • Facility Name: COASTAL ASC, LLC
  • Facility Address: 188 W NORTHERN LIGHTS BLVD, STE 110
    ANCHORAGE, AK
    ZIP 99503
  • Facility Phone: 907 562-0018
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. RICHARD PERRIN
  • NPI Number: 1104563352
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 02D2271965
LAB Type Ambulatory Surgery Center
Facility Name COASTAL ASC, LLC
Street 188 W NORTHERN LIGHTS BLVD, STE 110
City ANCHORAGE
State AK
ZIP 99503
Phone 907 562-0018
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/11/2024
Certificate Expiration Date 11/10/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. RICHARD PERRIN

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