COVID-19 Information

COVID-19 Information 

Last updated:   05/05/21 

*** 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 

  • On April 20, the Department of State issued a Travel Advisory Level 4 for the Republic of North Macedonia advising U.S. citizens to not travel to North Macedonia due to COVID-19. 
  • On May 4, the Government of North Macedonia amended and introduced new COVID-19 measures effective until May 15 to reduce the number of infections in the country: 
    • A nationwide curfew effective May 5 from 11:00 p.m. to 5:00 a.m.  The government has issued exemptions to the curfew for religious and transit purposes: 
      • The curfew is temporarily lifted on the evening between May 12 and 13 during the Ramadan Bajram holiday; and 
      • Travelers en route to and from the airport with tickets or itineraries in hand are exempt from this curfew.   
    • A mandatory 14-day quarantine for all domestic and foreign travelers arriving from India and Brazil to prevent the introduction of new variants in the country. 
    • Catering businesses (i.e., bars, cafes, and restaurants) can only serve customers on-site with outdoor seating until 10:30 p.m.  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.   
    • A ban on indoor classes at gymsfitness clubs, and sport centers.  Exemptions include outdoor fitness activities following the respective health and safety protocols. 
    • Closure of all betting shops. 
    • A ban on seminars, trainings, workshops, and conferences.  Exceptions include events organized by the Ministry of Education and athletic events without an audience. 
  • Beginning March 10, the government mandated a 14-day quarantine period for all travelers arriving from countries in Africa to prevent the spread of a COVID-19 variant identified in several of these countries.  The government will reassess this measure based on the epidemiological situation in the country. 
  • Parliament has extended the nationwide state of crisis through June 30, 2021 to effectively manage state resources during the coronavirus pandemic. 
  • The Government of North Macedonia continues to ban gatherings of more than four persons in public places 24 hours a day, seven days a week.  Exceptions to this rule include families with children, persons waiting for public transportation, and employees conducting official business.  A list of exceptions may be found here: 
  • Individuals must practice two-meter social distancing in public and wear a protective face covering in all closed and open 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 MacedoniaYes 
  • 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, 2,700 denars; antibody test, 1,200 denars; combined tests, 3,000 denars. 
    • 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. 
    • Biotek Laboratory, Vasil Gjorgov 12,, tel: +389-2-5300-898, +389-78-394-820.  PCR test, 2,600 denars; antibody test, 1,200 denars; 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; combined tests, 3,000 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 LaboratoryMother Theresa 35, Vodnjanska,, tel: +389-2-3107-144.  PCR test, 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.  Travelermay 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.  U.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: 

  • 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 a limited number of vaccines so far and anticipates additional deliveries in the coming months. 
  • Are vaccines available in North Macedonia for U.S. citizens to receive? No 
    • Vaccine registration is currently only open to citizens of North Macedonia belonging to specific groups such as healthcare workers, police officers, and the elderly.  As the vaccine supply increases, the government may open vaccine availability to other groups as well as to foreign citizens. 
  • Which vaccines are available in North Macedonia?   
    • Citizens of North Macedonia who are eligible for vaccination may receive one of several vaccines including Sputnik, 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. 
  • The U.S. government does not plan to provide COVID-19 vaccinations to private U.S citizens overseas.  Please follow host country developments and guidelines for COVID-19 vaccination. 
  • 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 oits official website. 
  • Are there quarantine requirements for U.S. citizens arriving in North Macedonia? Yes 
    • All travelers arriving from India, Brazil, and countries in Africaare 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:

Movement Restrictions 

  • Is a curfew in place? Yes 
    • The Government of North Macedonia has amended and extended the current nationwide curfew through May 15 from 11 p.m. to 5 a.m.  Public health authorities will continue to reassess the epidemiologic situation to determine whether further restrictions are needed 
    • The curfew is temporarily lifted on the evening between May 12 and 13 in observance of religious holidays. 
    • Travelers en route to and from the airport during curfew can present their airline tickets or itineraries as proof of transit to the enforcing authorities. 
  • Are there restrictions on intercity or interstate travel? No 

Quarantine Information  

  •  Are U.S. citizens required to quarantine? Yes 
    • On March 9, the Government of North Macedonia announced quarantine requirements for travelers arriving from countries in Africa.  All travelers arriving from these countries must quarantine for a 14-day period upon arrival to prevent the spread of a COVID-19 variant identified in several countries in Africa.   
    • Effective May 5 through May 15, all travelers arriving from India and Brazil are required to self-isolate for 14-days to prevent the introduction of new COVID-19 variants in the country. 
    • There are no quarantine requirements for travelers arriving from other countries.  

Transportation Options 

  • Are commercial flights operating? Yes 
  • Is public transportation operating? Yes 
    • Persons using public transportation must wear masks.  
    • Passenger capacity in public transportation has been limited to 50 percent. 
    • The maximum occupancy for a taxi has been set at 2 passengers. 

Fines for Non-Compliance  

  • Individuals must practice two-meter social distancing in public and wear a protective face covering in all closed and open public spaces, including markets, shops, banks, post offices, health facilities, and public transport.  There is a ban in place for groupings of more than four persons 24 hours a day, seven days a week. 
    • Failure to wear a mask will result in a fine of €20. 
    • Groupings of more than four persons gathering at any time during the day will receive a fine of €500. 
  • 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 the IR-1/CR-1, IR-2/CR-2 and IR5 categories; 
    • K-1 fiancée visas; 
    • Nonimmigrant visas in the national interest including C1/D and H categories associated with food production or medical professionals; and
    • Emergency or mission critical B1/B2 visas. 
  • Visit our website for more information or contact us at for assistance. 

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