CLIA lab
CLIA 02D1002124: Providence Breakthrough
Anchorage, AK. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 02D1002124 belongs to Providence Breakthrough in Anchorage, AK.
Certificate of Waiver, effective July 29, 2026, expires July 28, 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
- July 29, 2026
- Certificate expiration
- July 28, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 29, 2002
- Facility type
- Other
- Ownership (control type)
- Religious affiliation
- 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
- 02D1002124
- Lab name
- Providence Breakthrough
- Address
- 3760 Piper Street, Suite 1108, Anchorage, AK 99508
- Phone
- (907) 562-7325
- Fax
- (907) 562-6193
Annual test volume the lab reported
- Waived tests
- 550
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 Providence Breakthrough in Anchorage?
02D1002124, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Breakthrough hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 02D1002124 expire?
The CMS file lists July 28, 2028 as the certificate expiration date; the certificate took effect July 29, 2026.