CLIA lab
CLIA 05D1003572: Hazel Hawkins Convalescent Hospital
Hollister, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1003572 belongs to Hazel Hawkins Convalescent Hospital in Hollister, CA.
Certificate of Waiver, effective September 4, 2026, expires September 3, 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 4, 2026
- Certificate expiration
- September 3, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 4, 2002
- Facility type
- Skilled nursing or nursing facility
- 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
- 05D1003572
- Lab name
- Hazel Hawkins Convalescent Hospital
- Additional name
- Northside
- Address
- 900 Sunset Drive, Hollister, CA 95023
- Phone
- (831) 635-1106
- Fax
- (831) 635-1174
Annual test volume the lab reported
- Waived tests
- 4,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Hollister, CA
- Agile Occupational Medicine, PCCertificate of Waiver, Physician office05D2293504
- American Medical Response WestCertificate of Waiver, Ambulance05D0966358
- Barragan Family Health Care & Diabetes CenterCertificate of Waiver, Rural health clinic05D2133706
- Daniel Y Wang, MD CorpCertificate of Waiver, Physician office05D1073816
- Hazel Hawkins Memorial Hospital StatCertificate of Waiver, Other05D1090833
- Hazel Hawkins Memorial Hospital-LabCertificate of Accreditation, Hospital05D0063233
- Hazel Hawkins Primary Care & Surgical Specialty CeCertificate of Waiver, Rural health clinic05D2284459
- Hollister Multi Specialty CenterCertificate of Waiver, Skilled nursing or nursing facility05D2039301
- Hollister PediatricsCertificate of Waiver, Physician office05D2071357
- Mabie 4th Street Healthcare CenterCertificate for Provider-Performed Microscopy Procedures, Other05D1097969
Related
Questions
What is the CLIA number for Hazel Hawkins Convalescent Hospital in Hollister?
05D1003572, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hazel Hawkins Convalescent Hospital hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1003572 expire?
The CMS file lists September 3, 2028 as the certificate expiration date; the certificate took effect September 4, 2026.