CLIA lab
CLIA 02D2158479: Providence Kodiak Island Medical Center - Ecf
Kodiak, AK. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 02D2158479 belongs to Providence Kodiak Island Medical Center - Ecf in Kodiak, AK.
Certificate of Waiver, effective November 29, 2024, expires November 28, 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 29, 2024
- Certificate expiration
- November 28, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 29, 2018
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Religious affiliation
- 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
- 02D2158479
- Lab name
- Providence Kodiak Island Medical Center - Ecf
- Address
- 1838 E Chichenof St, Kodiak, AK 99615
- Phone
- (907) 486-7810
- Fax
- (907) 486-7801
Annual test volume the lab reported
- Waived tests
- 1,700
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Kodiak Area Native AssociationCertificate of Compliance, Community clinic02D0640982
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- Kodiak Area Native AssociationCertificate for Provider-Performed Microscopy Procedures, Community clinic02D2136079
- Kodiak Community Health CenterCertificate of Waiver, Federally qualified health center02D1020558
- Kodiak Fire DepartmentCertificate of Waiver, Ambulance02D1054397
- Kodiak Island Ambulatory Care ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office02D0985615
- North Pacific Medical CenterCertificate of Waiver, Physician office02D0640992
- Providence Kodiak IslandCertificate of Accreditation, Hospital02D0640989
- Safeway Pharmacy #1090Certificate of Waiver, Pharmacy02D2082287
Related
Questions
What is the CLIA number for Providence Kodiak Island Medical Center - Ecf in Kodiak?
02D2158479, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Kodiak Island Medical Center - Ecf hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 02D2158479 expire?
The CMS file lists November 28, 2026 as the certificate expiration date; the certificate took effect November 29, 2024.