CLIA lab
CLIA 02D0950574: Petersburg Rexall Drug Inc
Petersburg, AK. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 02D0950574 belongs to Petersburg Rexall Drug Inc in Petersburg, AK.
Certificate of Waiver, effective September 19, 2025, expires September 18, 2027.
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
- September 19, 2025
- Certificate expiration
- September 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 4, 1998
- Facility type
- Pharmacy
- 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
- 02D0950574
- Lab name
- Petersburg Rexall Drug Inc
- Address
- 215 N Nordic, Petersburg, AK 99833
- Phone
- (907) 772-3265
- Fax
- (907) 772-3165
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Petersburg Rexall Drug Inc in Petersburg?
02D0950574, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Petersburg Rexall Drug Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 02D0950574 expire?
The CMS file lists September 18, 2027 as the certificate expiration date; the certificate took effect September 19, 2025.