CLIA lab
CLIA 02D2158209: Fairbanks Family Wellness, LLC
Fairbanks, AK. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 02D2158209 belongs to Fairbanks Family Wellness, LLC in Fairbanks, AK.
Certificate of Waiver, effective November 23, 2024, expires November 22, 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 of Waiver
- Certificate effective
- November 23, 2024
- Certificate expiration
- November 22, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 23, 2018
- 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
- 02D2158209
- Lab name
- Fairbanks Family Wellness, LLC
- Address
- 3550 Airport Way, Ste 4, Fairbanks, AK 99709
- Phone
- (907) 479-2331
- Fax
- (907) 479-0164
Annual test volume the lab reported
- Waived tests
- 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 Fairbanks Family Wellness, LLC in Fairbanks?
02D2158209, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fairbanks Family Wellness, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 02D2158209 expire?
The CMS file lists November 22, 2026 as the certificate expiration date; the certificate took effect November 23, 2024.