CLIA lab
CLIA 05D0921678: Providence ST Joseph Hospital
Eureka, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0921678 belongs to Providence ST Joseph Hospital in Eureka, CA.
Certificate of Waiver, effective December 2, 2025, expires December 1, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- December 2, 2025
- Certificate expiration
- December 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 4, 1996
- Facility type
- Ambulatory surgery center
- Ownership (control type)
- Religious affiliation
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0921678
- Lab name
- Providence ST Joseph Hospital
- Additional name
- North Coast Pain & Surgery Center
- Address
- 2705 Harris St, Eureka, CA 95503
- Phone
- (773) 354-1358
- Fax
- (707) 269-3837
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Eureka, CA
- Aegis Treatment Centers LLCCertificate of Waiver, Other05D2172617
- Aegis Treatment Centers LLCCertificate of Waiver, Other05D2188913
- CK Derm HumboltCertificate for Provider-Performed Microscopy Procedures, Other practitioner05D2277149
- CP Humboldt N-Ca HH, LLCCertificate of Waiver, Home health agency05D0670135
- City Ambulance of Eureka IncCertificate of Waiver, Other05D0689924
- Cole Family Eye Care OptometryCertificate of Waiver, Other practitioner05D2258597
- Community Wellness CenterCertificate of Waiver, Other05D2106327
- Eureka Community Health CenterCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center05D0723498
- Eureka Rehabilitation & Wellness Center, LPCertificate of Waiver, Skilled nursing or nursing facility05D0892471
- Eureka VA CbocCertificate of Accreditation, Community clinic05D2046797
Related
Questions
What is the CLIA number for Providence ST Joseph Hospital in Eureka?
05D0921678, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence ST Joseph Hospital hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0921678 expire?
The CMS file lists December 1, 2027 as the certificate expiration date; the certificate took effect December 2, 2025.