CLIA lab
CLIA 05D0613039: Providence Redwood Memorial Hospital Laboratory
Fortuna, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0613039 belongs to Providence Redwood Memorial Hospital Laboratory in Fortuna, CA.
Certificate of Accreditation, effective January 3, 2025, expires January 2, 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 Accreditation
- Certificate effective
- January 3, 2025
- Certificate expiration
- January 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 11, 1994
- Facility type
- Hospital
- Ownership (control type)
- Religious affiliation
- Lab classification
- CLIA laboratory
- Accrediting organizations
- The Joint Commission
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0613039
- Lab name
- Providence Redwood Memorial Hospital Laboratory
- Address
- 3300 Renner Dr, Fortuna, CA 95540
- Phone
- (707) 445-8121
- Fax
- (707) 725-7219
Annual test volume the lab reported
- Waived tests
- 8,014
- Tests under accreditation
- 351,549
- Total
- 359,563
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Providence Redwood Memorial HospitalCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
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
- Redwood Coast PaceCertificate of Waiver, Other05D2183480
- Redwood Pediatric Medical GroupCertificate of Waiver, Physician office05D0613017
Related
Questions
What is the CLIA number for Providence Redwood Memorial Hospital Laboratory in Fortuna?
05D0613039, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Redwood Memorial Hospital Laboratory hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 05D0613039 expire?
The CMS file lists January 2, 2027 as the certificate expiration date; the certificate took effect January 3, 2025.