CLIA lab
CLIA 02D2276977: Banyan Alaska LLC
Wasilla, AK. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 02D2276977 belongs to Banyan Alaska LLC in Wasilla, AK.
Certificate of Waiver, effective February 17, 2025, expires February 16, 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
- February 17, 2025
- Certificate expiration
- February 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 17, 2023
- Facility type
- Other
- 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
- 02D2276977
- Lab name
- Banyan Alaska LLC
- Address
- 4750 E Begich Circle, Wasilla, AK 99654
- Phone
- (954) 533-7705
- Fax
- (954) 533-7717
Annual test volume the lab reported
- Waived tests
- 1,400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Wasilla, AK
- Advanced Dermatology of Alaska, LLCCertificate of Compliance, Physician office02D2305883
- Adventures in PediatricsCertificate of Waiver, Physician office02D1026071
- Ak Empower Medical and Wellness, LLCCertificate of Waiver, Physician office02D2287408
- Alaska Heart Institute LLCCertificate of Waiver, Physician office02D0996845
- All Seasons Family HealthcareCertificate for Provider-Performed Microscopy Procedures, Physician office02D1068278
- Alpenglow Womens HealthCertificate for Provider-Performed Microscopy Procedures, Physician office02D2341747
- Altair Integrative WellnessCertificate of Waiver, Physician office02D2214567
- Arctic Skye Family MedicineCertificate of Waiver, Physician office02D1073821
- Beacon Mat-Su ClinicCertificate of Waiver, Physician office02D2270833
- Benteh Nuutah Four DirectionsCertificate of Waiver, Comprehensive outpatient rehab facility02D2346046
Related
Questions
What is the CLIA number for Banyan Alaska LLC in Wasilla?
02D2276977, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Banyan Alaska LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 02D2276977 expire?
The CMS file lists February 16, 2027 as the certificate expiration date; the certificate took effect February 17, 2025.