CLIA lab

CLIA 02D2122665: Benteh Nuutah Primary Care Center

Wasilla, AK. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 02D2122665 belongs to Benteh Nuutah Primary Care Center in Wasilla, AK.

Certificate for Provider-Performed Microscopy Procedures, effective December 4, 2024, expires December 3, 2026.

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
December 4, 2024
Certificate expiration
December 3, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 4, 2016
Facility type
Community clinic
Ownership (control type)
Government, other
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
02D2122665
Lab name
Benteh Nuutah Primary Care Center
Address
1001 S Knik Goose Bay Road, Wasilla, AK 99654
Phone
(907) 729-1230
Fax
(907) 729-8626

Annual test volume the lab reported

Waived tests
2,000
Provider-performed microscopy tests
100
Total
2,100

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 Benteh Nuutah Primary Care Center in Wasilla?

02D2122665, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Benteh Nuutah Primary Care Center hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 02D2122665 expire?

The CMS file lists December 3, 2026 as the certificate expiration date; the certificate took effect December 4, 2024.

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