CLIA lab
CLIA 02D2147072: Paul Martin Gundersen Memorial Clinic
Nelson Lagoon, AK. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 02D2147072 belongs to Paul Martin Gundersen Memorial Clinic in Nelson Lagoon, AK.
Certificate for Provider-Performed Microscopy Procedures, effective April 12, 2026, expires April 11, 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
- April 12, 2026
- Certificate expiration
- April 11, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 12, 2018
- 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
- 02D2147072
- Lab name
- Paul Martin Gundersen Memorial Clinic
- Address
- 40 Main Street, Nelson Lagoon, AK 99571
- Phone
- (907) 989-2202
- Fax
- (907) 989-2245
Annual test volume the lab reported
- Waived tests
- 500
- Provider-performed microscopy tests
- 100
- Total
- 600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Paul Martin Gundersen Memorial Clinic in Nelson Lagoon?
02D2147072, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Paul Martin Gundersen Memorial Clinic hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 02D2147072 expire?
The CMS file lists April 11, 2028 as the certificate expiration date; the certificate took effect April 12, 2026.