CLIA lab
CLIA 02D2081602: Peacehealth Medical Group Urology
Ketchikan, AK. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 02D2081602 belongs to Peacehealth Medical Group Urology in Ketchikan, AK.
Certificate for Provider-Performed Microscopy Procedures, effective July 28, 2026, expires July 27, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- July 28, 2026
- Certificate expiration
- July 27, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 28, 2014
- Facility type
- Community clinic
- Ownership (control type)
- Religious affiliation
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 02D2081602
- Lab name
- Peacehealth Medical Group Urology
- Address
- 3100 Tongass Ave, Attention Phmg Urology, Ketchikan, AK 99901
- Phone
- (907) 225-7346
- Fax
- (907) 228-8325
Annual test volume the lab reported
- Waived tests
- 350
- Provider-performed microscopy tests
- 250
- Total
- 600
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 Medical Group Urology in Ketchikan?
02D2081602, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Peacehealth Medical Group Urology hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 02D2081602 expire?
The CMS file lists July 27, 2028 as the certificate expiration date; the certificate took effect July 28, 2026.