CLIA lab
CLIA 05D1090833: Hazel Hawkins Memorial Hospital Stat
Hollister, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1090833 belongs to Hazel Hawkins Memorial Hospital Stat in Hollister, CA.
Certificate of Waiver, effective October 4, 2025, expires October 3, 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
- October 4, 2025
- Certificate expiration
- October 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 20, 2008
- Facility type
- Other
- Ownership (control type)
- Government, other
- Lab classification
- CLIA laboratory
- 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
- 05D1090833
- Lab name
- Hazel Hawkins Memorial Hospital Stat
- Address
- 591 Mccray St, Hollister, CA 95023
- Phone
- (831) 636-1436
- Fax
- (831) 636-3055
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.
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 Convalescent HospitalCertificate of Waiver, Skilled nursing or nursing facility05D1003572
- 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 Memorial Hospital Stat in Hollister?
05D1090833, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hazel Hawkins Memorial Hospital Stat hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1090833 expire?
The CMS file lists October 3, 2027 as the certificate expiration date; the certificate took effect October 4, 2025.