CLIA lab
CLIA 02D2120631: North Country Medical
Fairbanks, AK. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 02D2120631 belongs to North Country Medical in Fairbanks, AK.
Certificate of Waiver, effective October 20, 2024, expiration date October 19, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 20, 2024
- Certificate expiration
- October 19, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 20, 2016
- 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
- 02D2120631
- Lab name
- North Country Medical
- Address
- 626 2nd Street, Suite 201B, Fairbanks, AK 99701
- Phone
- (907) 374-3869
- Fax
- (907) 374-3870
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Augusta Plassmann King, OD, LLCCertificate of Waiver, Other practitioner02D2172948
- Beacon Coalition FBXCertificate of Waiver, Physician office02D2125580
- Beacon Fairbanks ClinicCertificate of Waiver, Other02D2201234
- Chena Obstetrics & Gynecology PCCertificate for Provider-Performed Microscopy Procedures, Physician office02D1058866
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Related
Questions
What is the CLIA number for North Country Medical in Fairbanks?
02D2120631, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does North Country Medical hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 02D2120631 expire?
The CMS file lists October 19, 2026 as the certificate expiration date; the certificate took effect October 20, 2024.