CLIA lab
CLIA 02D2319302: Providence Medical Group
Eagle River, AK. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 02D2319302 belongs to Providence Medical Group in Eagle River, AK.
Certificate of Waiver, effective February 26, 2025, expires February 25, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- February 26, 2025
- Certificate expiration
- February 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 26, 2025
- Facility type
- Physician office
- 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
- 02D2319302
- Lab name
- Providence Medical Group
- Additional name
- Primary Care Eagle River
- Address
- 12001 Business Blvd, Ste 3B, Eagle River, AK 99577
- Phone
- (907) 212-3420
- Fax
- (907) 212-5576
Annual test volume the lab reported
- Waived tests
- 3,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Eagle River, AK
- Alaska BirthingCertificate of Waiver, Other practitioner02D1048172
- Alaska Urology, LLCCertificate for Provider-Performed Microscopy Procedures, Physician office02D2025206
- Alcan Medical GroupCertificate of Waiver, Other practitioner02D2284127
- Anchorage Women's ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office02D2027085
- Carrs Pharmacy #1807Certificate of Waiver, Pharmacy02D1053620
- Center for Natural MedicineCertificate of Waiver, Physician office02D1033100
- Discovery Cove Recovery & Wellness CenterCertificate of Waiver, Physician office02D2059032
- Eagle River Vision Clinic IncCertificate of Waiver, Other02D2081322
- Express Care Ak Eagle RiverCertificate of Waiver, Other02D2169763
- Fred Meyer Pharmacy #668Certificate of Waiver, Pharmacy02D1014293
Related
Questions
What is the CLIA number for Providence Medical Group in Eagle River?
02D2319302, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 02D2319302 expire?
The CMS file lists February 25, 2027 as the certificate expiration date; the certificate took effect February 26, 2025.