COVID-19 Information

COVID-19 Information

Last updated:   07/13/21

*** Effective January 26, all airline passengers to the United States ages two years and older must provide a negative COVID-19 viral test taken within three calendar days of travel.  Alternatively, travelers to the United States may provide documentation from a licensed health care provider of having recovered from COVID-19 in the 90 days preceding travel.  Check the CDC website for additional information and Frequently Asked Questions.


Country-Specific Information

  • The Centers for Disease Control and Prevention (CDC) has issued a Level 1 Travel Health Notice for North Macedonia due to COVID-19, indicating a low level of COVID-19 in the country. The risk of contracting COVID-19 and developing severe symptoms may be lower if travelers are fully vaccinated with an FDA authorized vaccine.  Before planning any international travel, please review the CDC’s specific recommendations for fully vaccinated and unvaccinated travelers.
  • On June 15, the Government of North Macedonia decided to lift the daily nationwide curfew effective June 16, in addition to other amendments, including the following:
    • COVID-19 related restrictions on the working hours catering facilities will no longer apply. The restriction limiting catering facilities to serving food in the open air, such as terraces, remains in place.  Casinos may serve drinks indoors.
    • Outdoor events may be held using 50 percent of the capacity of the available space. Maximum event size is 1000 attendees.
    • Catering facilities may host weddings, celebrations, and open-air parties outside in accordance with the 50 percent capacity guidance above. Prior restrictions capping attendance at 100 guests no longer applies.
  • All other COVID-19 measures approved by the government in response to the evolving epidemiological situation remain in place:
    • Effective June 1, the government lifted the ban for gatherings of more than four persons in outdoor public places.
    • Individuals are no longer required to wear masks or face coverings outdoors, except when gathering in large groups. Individuals must continue wearing a protective face covering in all closed or indoor spaces, including taxis and public transport.
    • Catering businesses (i.e., bars, cafes, and restaurants) may serve up to six customers per table with outdoor seating. On-site dining with indoor seating remains prohibited under the current restrictive measures.  Exceptions include:
      • Delivery and take-out services; and
      • Catering businesses operating at the Skopje and Ohrid airports, and hotels serving guests staying on hotel premises.
    • Sporting venues may resume outdoor events with an audience.
    • Seminars, trainings, workshops, and conferences may continue with a 30 percent indoor capacity and a 50 percent outdoor capacity.
  • The government has mandated a 14-day quarantine period for all travelers arriving from India to prevent the spread of a COVID-19 variant identified in this country. The government will reassess this measure based on the epidemiological situation in the country.
  • On June 8, Parliament extended the nationwide state of crisis through December 31, 2021 to effectively manage state resources during the coronavirus pandemic.
  • Individuals must practice two-meter social distancing in public and wear a protective face covering in all closed public spaces, including markets, shops, banks, post offices, health facilities, and public transport.
  • Current statistics on COVID-19 in the Republic of North Macedonia are available in the Macedonian language from the Institute of Public Health’s webpage and the Minister of Health’s official Facebook page.

COVID-19 Testing

  • Are PCR and/or antigen tests available for U.S. citizens in North Macedonia? Yes
  • If so, are test results reliably available within 72 hours? Yes
  • U.S. citizens may obtain a COVID-19 test from the health care providers and laboratories in North Macedonia listed below. Testing fees must be paid by each patient.  Prices range from 1,200 – 5,000 denars, depending on the lab and type of test, and are subject to change.  Fees are payable in cash or credit card.  Patients are advised to contact each testing location directly for current prices.
    • Acibadem Sistina Hospital, Skupi 5A, tel: +389-2-3099-500, open 24/7. PCR test, average price between 2,100 and 2,700 denars; and urgent PCR test, 9,000 denars.  This facility offers a family discount for more than three persons.
    • Avicena Laboratory, Bul. 8 Septemvri, 2-1,, tel: +389-2-3179-001. PCR test, 2,600 denars; antibody test, 1,800 denars; combined tests, 3,000 denars; and antigen (quick test), 5,200 denars.
    • Biotek Laboratory, Vasil Gjorgov 12,, tel: +389-2-5300-898, +389-78-394-820. PCR test, average price between 2,100 and 2,600 denars; antibody test, 1,200 denars; and combined tests, 2,900 denars.
    • Zan Mitrev Clinic, Bledski dogovor 8,, tel: +389-2-3091-500. PCR test, 2,900 denars; antibody test, 1,500 denars; and urgent PCR test, 12,000 denars.
    • Public Health Institute, Virology Department, 50 Divizija, no. 6,, tel: +389-2-3125-044. PCR test, 2,500 denars; antibody test is not available; combined tests are not available.
    • Skopje Public Health Center, III Makedonska Brigada 18,, tel: +389-2-3298-667.
    • Macedonian Academy of Arts and Sciences, Bul. Krste Misirkov 2, P.S. 428,, tel: +389-2-3235-400.
    • Institute of Forensic Medicine, Majka Tereza 19, tel: +389-2-3177-044
    • Clinic of Infectious Diseases and Febrile Conditions, Majka Tereza 17,, tel: +389-2-3228-224.
    • Gynecology and Obstetrics Clinic, Majka Tereza 17, tel: +389-2-3228-440.
    • Bitola Public Health Center, Partizanska, b.b., 7000 Bitola,, tel: +389-47-208-100.
    • Private Health Institution Laboratory for Molecular Diagnostics LAOR, 29 Noemvri nr. 1, 1200 Tetovo, tel: +389-75-273-746.
    • Re-Medika Hospital, 16th Makedonska Brigada, no. 18,, tel: +389-2-2603-100. PCR test, 3,000 denars; antibody test, 1,400 denars; combined tests are not available.
    • SynLab Laboratory, Mother Theresa 35, Vodnjanska,, tel: +389-2-3107-144. PCR test, average price between 2,500 and 3,150 denars; antibody test, 1,500 denars; combined tests are not available.
  • Testing laboratories provide COVID-19 test results via email. No physician order is required, and patients may request testing on their own.  English translation of COVID-19 test results is available at an extra cost.
  • The CDC will consider individual waivers of the pre-flight COVID-19 testing requirement in exigent circumstances where emergency travel is required to preserve health and safety and where pre-departure testing cannot be accessed or completed before travel. Travelers may find more information about the waiver process for the CDC Order on pre-flight testing here.  A list of FAQs on this topic are available on the Department of State’s webpage.
  • On January 24, Zan Mitrev Laboratory set up a mobile ambulance during limited hours at Skopje International Airport to administer antigen tests for SARS-CoV-2 primarily for passengers traveling to the Netherlands, Germany, France, and Switzerland. Results will be available within 15-20 minutes and cost 1,500 denars paid in cash or credit card.  S. citizens traveling to the United States should not rely on the availability of these tests to provide proof of negative testing to enter the United States.  Additional information can be found on Skopje Airport’s official webpage.  Travelers should contact their airline or Zan Mitrev Clinic (contact information listed above) for more specific information about testing requirements and availability.
  • The Government of North Macedonia has published a list of contact numbers for the Institute of Public Health in Skopje and Public Health Centers located throughout the country. Travelers can access this list here.

COVID-19 Vaccine Information:

  • Beginning July 12, the Ministry of Health is offering COVID-19 vaccines at walk-in sites in health centers and hospitals located throughout the country.  These walk-in sites are available for all citizens who wish to get the first dose of the available COVID-19 vaccines. Vaccination sites located at sporting venues will continue to offer COVID-19 vaccines to anyone who needs a second dose of the vaccine.
  • Has the Government of North Macedonia approved a COVID-19 vaccine for use? No
    • Although there has not been approval through formal channels, the Government of North Macedonia will allow use of COVID-19 vaccines under emergency import, allowed by the Law on Medications. The Ministry of Health has received various vaccines so far, including Sputnik V, Pfizer, AstraZeneca, and Sinopharm, to allow for mass vaccination of the public to begin, and anticipates additional deliveries in the coming months.
  • Are vaccines available in North Macedonia for U.S. citizens? Yes
    • The Government of North Macedonia has updated its official vaccination website to allow foreign citizens to express interest in COVID-19 vaccination and register in the National Electronic Health System. S citizens may visit the website and provide the following information for registration:
      • Name and Last Name
      • Passport Number or National Identification Number
      • Date of Birth
      • Country of Citizenship
      • Mobile Phone Number, and
      • Email
    • COVID-19 vaccination will be conducted in accordance with the official vaccination strategy of the Government of North Macedonia.
    • Applicants have the option of choosing among several vaccine clinics located throughout the country. They will be notified about their scheduled appointment (date and time) via SMS and email when an appointment becomes available.
  • Which vaccines are available in North Macedonia?
    • Citizens of North Macedonia and foreign citizens who are eligible for vaccination may receive one of several vaccines, including Sputnik V, Sinopharm, AstraZeneca, or Pfizer.
  • The Ministry of Health has launched an online platform to keep citizens informed with up-to-date and reliable information about COVID-19 vaccines. The website contains resources in Macedonian and Albanian, including a list of Frequently Asked Questions.  Through this platform, citizens of the Republic of North Macedonia may access the official website to register for a COVID-19 vaccine, according to their tiered priority.
  • Persons living and travelling in North Macedonia may monitor the official government COVID-19 website for more news and updates regarding vaccines in North Macedonia.
  • Information from the CDC regarding COVID-19 vaccination.

Entry and Exit Requirements

  • Are U.S. citizens permitted to enter? Yes.
    • The Ministry of Foreign Affairs publishes current entry and exit requirements on its official website.
  • Are there quarantine requirements for U.S. citizens arriving in North Macedonia? Yes
    • All travelers arriving from India are required to observe 14 days of mandatory quarantine upon arrival.
  • Is a negative COVID-19 test (PCR and/or serology) required for entry? No
  • Are health screening procedures in place at airports and other ports of entry? Yes
    • At Skopje International Airport, thermal cameras screen both passengers entering the terminal to depart and passengers arriving through passport control. Medical teams from the Institute of Public Health are on site 24 hours per day to evaluate any persons who register a temperature above 37 degrees Celsius.  (98.6 degrees Fahrenheit)
    • No health screening is in place at the land borders.
  • Visa extensions for residents and/or tourists should be directed to the local police station. These requests will be reviewed and processed by the Ministry of Interior.  The official standard regulation can be accessed here:
  • Effective June 22, individuals accompanying international travelers can enter the Skopje and Ohrid airports while following all protective measures established by the airport authorities.

Movement Restrictions

  • Is a curfew in place? No
    • Beginning June 16, the daily nationwide curfew is no longer in effect.
  • Are there restrictions on intercity or interstate travel? No

Quarantine Information

  • Are U.S. citizens required to quarantine? Yes
    • The Government of North Macedonia has announced quarantine requirements for travelers arriving from India. All travelers arriving from India must quarantine for a 14-day period upon arrival to prevent the spread of a COVID-19 variant identified in this country.
    • There are no quarantine requirements for travelers arriving from other countries.

Transportation Options

  • Are commercial flights operating? Yes
  • Is public transportation operating? Yes
    • On June 22, the government increased the capacity of riders on public transportation to 100 percent.
    • Persons using public transportation must follow all public health measures, such as wearing face coverings to prevent the spread of COVID-19.

Fines for Non-Compliance

  • Individuals must practice two-meter social distancing in public and wear a protective face covering in all closed public spaces, including markets, shops, banks, post offices, health facilities, and public transport.
    • Failure to wear a mask will result in a fine of €20.
  • Self-isolation is mandatory when testing for COVID-19, from the time the test is scheduled, through the testing date, and will continue until test results are reported. This self-isolation continues if the result is positive.  The duration of self-isolation for persons testing positive is 10 days for asymptomatic patients and 20 days for symptomatic patients.  Patients with questions should consult with local authorities and health care providers.
    • People who violate self-isolation will receive a fine of €50.

Consular Operations

  • U.S. Embassy Skopje is currently providing limited American Citizen Services, including passports, consular reports of birth abroad, consular reports of death abroad, and notaries. For assistance, please contact us at
  • U.S. Embassy Skopje is processing limited immigrant and nonimmigrant visa services, including:
    • Immigrant visas in all categories;
    • K-1 fiancée visas;
    • Nonimmigrant visas in the C1D, F, M, J, E, O, P, R, H, L categories; and
    • Emergency or mission critical B1/B2 visas.
  • Visit our website for more information or contact us at for assistance. 

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