CLIA lab
CLIA 02D0641458: Peacehealth Primary Care Clinic
Ketchikan, AK. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 02D0641458 belongs to Peacehealth Primary Care Clinic in Ketchikan, AK.
Certificate of Waiver, effective August 6, 2026, expires August 5, 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 Waiver
- Certificate effective
- August 6, 2026
- Certificate expiration
- August 5, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 29, 1993
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 02D0641458
- Lab name
- Peacehealth Primary Care Clinic
- Address
- 3100 Tongass Avenue, Ketchikan, AK 99901
- Phone
- (907) 225-4104
- Fax
- (907) 225-7215
Other labs in Ketchikan, AK
- Comprehensive Addiction ServicesCertificate of Waiver, Other02D2344802
- Creekside Family Health Clinic, IncCertificate of Waiver, Physician office02D1088324
- Ketchikan Fire DepartmentCertificate of Waiver, Mobile lab02D0672646
- Ketchikan Functional MedicineCertificate of Waiver, Other practitioner02D2347580
- Ketchikan Indian CommunityCertificate of Waiver, Community clinic02D2236636
- Ketchikan Indian Community Tribal Health ClinicCertificate of Accreditation, Federally qualified health center02D0934737
- Legacy Health Clinic, LLCCertificate of Waiver, Other practitioner02D2103660
- New Horizons Transitional Care UnitCertificate of Waiver, Skilled nursing or nursing facility02D0641450
- Northway Family HealthcareCertificate of Waiver, Physician office02D2087528
- Peacehealth Ketchikan Medical CenterCertificate of Accreditation, Hospital02D0641454
Related
Questions
What is the CLIA number for Peacehealth Primary Care Clinic in Ketchikan?
02D0641458, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Peacehealth Primary Care Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 02D0641458 expire?
The CMS file lists August 5, 2028 as the certificate expiration date; the certificate took effect August 6, 2026.