CLIA lab
CLIA 02D0640989: Providence Kodiak Island
Kodiak, AK. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 02D0640989 belongs to Providence Kodiak Island in Kodiak, AK.
Certificate of Accreditation, effective August 23, 2026, expires August 22, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Accreditation
- Certificate effective
- August 23, 2026
- Certificate expiration
- August 22, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Hospital
- Ownership (control type)
- Government, county
- Lab classification
- CLIA laboratory
- Accrediting organizations
- The Joint Commission
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 02D0640989
- Lab name
- Providence Kodiak Island
- Additional name
- Med Center
- Address
- 1915 E Rezanof Dr, Kodiak, AK 99615
- Phone
- (907) 486-9535
Annual test volume the lab reported
- Waived tests
- 1,220
- Tests under accreditation
- 65,388
- Total
- 66,608
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Providence Kodiak Island Medical CTRCMS Care Compare ratings for the facility at the same street address
Other labs in Kodiak, AK
- Eyecare Excellence PCCertificate of Waiver, Physician office02D2038193
- Kodiak Area Native AssociationCertificate of Compliance, Community clinic02D0640982
- Kodiak Area Native AssociationCertificate of Waiver, Community clinic02D0641002
- Kodiak Area Native AssociationCertificate for Provider-Performed Microscopy Procedures, Community clinic02D2136079
- Kodiak Community Health CenterCertificate of Waiver, Federally qualified health center02D1020558
- Kodiak Fire DepartmentCertificate of Waiver, Ambulance02D1054397
- Kodiak Island Ambulatory Care ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office02D0985615
- North Pacific Medical CenterCertificate of Waiver, Physician office02D0640992
- Providence Kodiak Island Medical Center - EcfCertificate of Waiver, Skilled nursing or nursing facility02D2158479
- Safeway Pharmacy #1090Certificate of Waiver, Pharmacy02D2082287
Related
Questions
What is the CLIA number for Providence Kodiak Island in Kodiak?
02D0640989, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Kodiak Island hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 02D0640989 expire?
The CMS file lists August 22, 2028 as the certificate expiration date; the certificate took effect August 23, 2026.