02D2312296 CLIA NUMBER - VALLEY RADIATION THERAPY CENTER

Laboratory Demographics

  • CLIA Code: 02D2312296
  • Facility Name: VALLEY RADIATION THERAPY CENTER
  • Facility Address: 2490 S WOODWORTH LOOP, STE 150
    PALMER, AK
    ZIP 99645
  • Facility Phone: 907 745-2900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. AARON KUSANO
  • NPI Number: 1447570874
  • Taxonomy: 2085R0001X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 02D2312296
LAB Type Physician Office
Facility Name VALLEY RADIATION THERAPY CENTER
Street 2490 S WOODWORTH LOOP, STE 150
City PALMER
State AK
ZIP 99645
Phone 907 745-2900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2024
Certificate Expiration Date 10/7/2026
Facility Type Physician Office
Lab Director DR. AARON KUSANO

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