CLIA lab
CLIA 02D1050996: Peacehealth Pediatric Clinic
Ketchikan, AK. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 02D1050996 belongs to Peacehealth Pediatric Clinic in Ketchikan, AK.
Certificate of Waiver, effective February 17, 2026, expires February 16, 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
- February 17, 2026
- Certificate expiration
- February 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 17, 2006
- Facility type
- Physician office
- 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
- 02D1050996
- Lab name
- Peacehealth Pediatric Clinic
- Address
- 3100 Tongass Ave, Ketchikan, AK 99901
- Phone
- (907) 225-4463
- Fax
- (907) 228-8321
Annual test volume the lab reported
- Waived tests
- 260
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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 Pediatric Clinic in Ketchikan?
02D1050996, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Peacehealth Pediatric Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 02D1050996 expire?
The CMS file lists February 16, 2028 as the certificate expiration date; the certificate took effect February 17, 2026.