02D2313671 CLIA NUMBER - ORTHOALASKA

Laboratory Demographics

  • CLIA Code: 02D2313671
  • Facility Name: ORTHOALASKA
  • Facility Address: 3125 E MERIDIAN PARK LOOP SUITE 150
    WASILLA, AK
    ZIP 99654
  • Facility Phone: 907 864-5025
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. ERIC J. MIKNICH
  • NPI Number: 1750945358
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 02D2313671
LAB Type Physician Office
Facility Name ORTHOALASKA
Street 3125 E MERIDIAN PARK LOOP SUITE 150
City WASILLA
State AK
ZIP 99654
Phone 907 864-5025
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/29/2025
Certificate Expiration Date 5/28/2027
Facility Type Physician Office
Lab Director DR. ERIC J. MIKNICH

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