CLIA lab
CLIA 05D0941735: Hayfork Community Health Clinic
Hayfork, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0941735 belongs to Hayfork Community Health Clinic in Hayfork, CA.
Certificate of Waiver, effective March 2, 2026, expires March 1, 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
- March 2, 2026
- Certificate expiration
- March 1, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 2, 1998
- Facility type
- Physician office
- Ownership (control type)
- Government, other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0941735
- Lab name
- Hayfork Community Health Clinic
- Address
- 6961 Highway 3, Hayfork, CA 96041
- Phone
- (530) 623-4186
- Fax
- (530) 623-4397
Annual test volume the lab reported
- Waived tests
- 1,300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Hayfork Community Health Clinic in Hayfork?
05D0941735, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hayfork Community Health Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0941735 expire?
The CMS file lists March 1, 2028 as the certificate expiration date; the certificate took effect March 2, 2026.