CLIA lab
CLIA 05D0869082: Mad River Community Hospital Home
Arcata, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0869082 belongs to Mad River Community Hospital Home in Arcata, CA.
Certificate of Waiver, effective September 1, 2026, expires August 31, 2028.
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
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 18, 1993
- Facility type
- Home health agency
- 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
- 05D0869082
- Lab name
- Mad River Community Hospital Home
- Address
- 4605 Valley West Boulevard, Arcata, CA 95521
- Phone
- (707) 826-8420
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Arcata, CA
- A To Z Eye CareCertificate of Waiver, Other05D2070947
- Adult Day Health Care of Mad RiverCertificate of Waiver, Other05D0993530
- Arcata Mad River Ambulance IncCertificate of Waiver, Other05D0687527
- Barnes Arcata Family DrugCertificate of Waiver, Pharmacy05D2189973
- Corinne Vivian Basch, MDCertificate for Provider-Performed Microscopy Procedures, Physician office05D0969609
- Humboldt Open Door ClinicCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center05D0612922
- Mad River Community HospitalCertificate of Accreditation, Hospital05D0612926
- North Pacific Dermatology, A Medical CorporationCertificate of Registration, Independent05D2330045
- Northcountry ClinicCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center05D0703251
- Student Health Center LaboratoryCertificate of Accreditation, School or student health service05D0063791
Related
Questions
What is the CLIA number for Mad River Community Hospital Home in Arcata?
05D0869082, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mad River Community Hospital Home hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0869082 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.