CLIA lab
CLIA 02D2236636: Ketchikan Indian Community
Ketchikan, AK. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 02D2236636 belongs to Ketchikan Indian Community in Ketchikan, AK.
Certificate of Waiver, effective September 19, 2025, expires September 18, 2027.
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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 19, 2025
- Certificate expiration
- September 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 19, 2021
- Facility type
- Community clinic
- Ownership (control type)
- 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
- 02D2236636
- Lab name
- Ketchikan Indian Community
- Additional name
- Behavioral Health Clinic
- Address
- 201 Deermount St, Ste 200, Ketchikan, AK 99901
- Phone
- (907) 228-9203
- Fax
- (907) 590-3277
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Ketchikan, AK
- Comprehensive Addiction ServicesCertificate of Waiver, Other02D2344802
- Creekside Family Health Clinic, IncCertificate of Waiver, Physician office02D1088324
- Ketchikan Fire DepartmentCertificate of Waiver, Mobile lab02D0672646
- Ketchikan Functional MedicineCertificate of Waiver, Other practitioner02D2347580
- Ketchikan Indian Community Tribal Health ClinicCertificate of Accreditation, Federally qualified health center02D0934737
- Legacy Health Clinic, LLCCertificate of Waiver, Other practitioner02D2103660
- New Horizons Transitional Care UnitCertificate of Waiver, Skilled nursing or nursing facility02D0641450
- Northway Family HealthcareCertificate of Waiver, Physician office02D2087528
- Peacehealth Ketchikan Medical CenterCertificate of Accreditation, Hospital02D0641454
- Peacehealth Ketchikan Medical CenterCertificate for Provider-Performed Microscopy Procedures, Rural health clinic02D2026103
Related
Questions
What is the CLIA number for Ketchikan Indian Community in Ketchikan?
02D2236636, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ketchikan Indian Community hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 02D2236636 expire?
The CMS file lists September 18, 2027 as the certificate expiration date; the certificate took effect September 19, 2025.