CLIA lab
CLIA 02D1102577: Mat-Su Community Based Outpatient Clinic
Wasilla, AK. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 02D1102577 belongs to Mat-Su Community Based Outpatient Clinic in Wasilla, AK.
Certificate of Accreditation, effective July 22, 2009, expires May 22, 2032.
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
- July 22, 2009
- Certificate expiration
- May 22, 2032
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 22, 2009
- Facility type
- Community clinic
- Ownership (control type)
- Government, federal
- Lab classification
- CLIA VA laboratory
- Accrediting organizations
- The Joint Commission
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 02D1102577
- Lab name
- Mat-Su Community Based Outpatient Clinic
- Address
- 865 N Seward Meridian Parkway, Wasilla, AK 99654
- Phone
- (907) 631-3100
- Fax
- (907) 631-3101
Annual test volume the lab reported
- Waived tests
- 210
- Tests under accreditation
- 210
- Total
- 420
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Wasilla, AK
- Advanced Dermatology of Alaska, LLCCertificate of Compliance, Physician office02D2305883
- Adventures in PediatricsCertificate of Waiver, Physician office02D1026071
- Ak Empower Medical and Wellness, LLCCertificate of Waiver, Physician office02D2287408
- Alaska Heart Institute LLCCertificate of Waiver, Physician office02D0996845
- All Seasons Family HealthcareCertificate for Provider-Performed Microscopy Procedures, Physician office02D1068278
- Alpenglow Womens HealthCertificate for Provider-Performed Microscopy Procedures, Physician office02D2341747
- Altair Integrative WellnessCertificate of Waiver, Physician office02D2214567
- Arctic Skye Family MedicineCertificate of Waiver, Physician office02D1073821
- Banyan Alaska LLCCertificate of Waiver, Other02D2276977
- Beacon Mat-Su ClinicCertificate of Waiver, Physician office02D2270833
Related
Questions
What is the CLIA number for Mat-Su Community Based Outpatient Clinic in Wasilla?
02D1102577, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mat-Su Community Based Outpatient Clinic hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 02D1102577 expire?
The CMS file lists May 22, 2032 as the certificate expiration date; the certificate took effect July 22, 2009.