CLIA lab
CLIA 02D2097548: Kimberly J Wonderlich Dermatology, LLC
Fairbanks, AK. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 02D2097548 belongs to Kimberly J Wonderlich Dermatology, LLC in Fairbanks, AK.
Certificate for Provider-Performed Microscopy Procedures, effective June 18, 2025, expires June 17, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- June 18, 2025
- Certificate expiration
- June 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 18, 2015
- Facility type
- Physician office
- 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
- 02D2097548
- Lab name
- Kimberly J Wonderlich Dermatology, LLC
- Address
- 2775 College Rd, Fairbanks, AK 99709
- Phone
- (907) 456-1979
- Fax
- (907) 456-1903
Annual test volume the lab reported
- Waived tests
- 40
- Provider-performed microscopy tests
- 100
- Total
- 140
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 Kimberly J Wonderlich Dermatology, LLC in Fairbanks?
02D2097548, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kimberly J Wonderlich Dermatology, LLC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 02D2097548 expire?
The CMS file lists June 17, 2027 as the certificate expiration date; the certificate took effect June 18, 2025.