CLIA lab
CLIA 05D0613017: Redwood Pediatric Medical Group
Fortuna, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0613017 belongs to Redwood Pediatric Medical Group in Fortuna, CA.
Certificate of Waiver, effective January 1, 2025, expires December 31, 2026.
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
- January 1, 2025
- Certificate expiration
- December 31, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- 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
- 05D0613017
- Lab name
- Redwood Pediatric Medical Group
- Address
- 3305 Renner Drive, Fortuna, CA 95540
- Phone
- (707) 725-9355
- Fax
- (707) 725-2426
Annual test volume the lab reported
- Waived tests
- 681
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Fortuna, CA
- Fortuna Community Health CenterCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center05D2105027
- Fortuna Family Medicine IncCertificate for Provider-Performed Microscopy Procedures, Rural health clinic05D2284904
- Fortuna Pharmacy IncCertificate of Waiver, Pharmacy05D2316599
- Fortuna RehabilitationCertificate of Waiver, Skilled nursing or nursing facility05D2027526
- Ikigai Physician GroupCertificate of Waiver, Physician office05D2266217
- Providence Family PracticeCertificate of Waiver, Physician office05D0860685
- Providence Redwood Memorial Hospital LaboratoryCertificate of Accreditation, Hospital05D0613039
- Redwood Coast PaceCertificate of Waiver, Other05D2183480
Related
Questions
What is the CLIA number for Redwood Pediatric Medical Group in Fortuna?
05D0613017, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Redwood Pediatric Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0613017 expire?
The CMS file lists December 31, 2026 as the certificate expiration date; the certificate took effect January 1, 2025.