CLIA lab
CLIA 05D2105027: Fortuna Community Health Center
Fortuna, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2105027 belongs to Fortuna Community Health Center in Fortuna, CA.
Certificate for Provider-Performed Microscopy Procedures, effective November 17, 2025, expires November 16, 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
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Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- November 17, 2025
- Certificate expiration
- November 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 17, 2015
- Facility type
- Federally qualified health center
- Ownership (control type)
- Other
- 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
- 05D2105027
- Lab name
- Fortuna Community Health Center
- Address
- 3750 Rohnerville Rd, Fortuna, CA 95540
- Phone
- (707) 725-6101
- Fax
- (707) 725-2978
Annual test volume the lab reported
- Waived tests
- 2,000
- Provider-performed microscopy tests
- 500
- Total
- 2,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Fortuna, CA
- Fortuna Family Medicine IncCertificate for Provider-Performed Microscopy Procedures, Rural health clinic05D2284904
- Fortuna Pharmacy IncCertificate of Waiver, Pharmacy05D2316599
- Fortuna RehabilitationCertificate of Waiver, Skilled nursing or nursing facility05D2027526
- Ikigai Physician GroupCertificate of Waiver, Physician office05D2266217
- Providence Family PracticeCertificate of Waiver, Physician office05D0860685
- Providence Redwood Memorial Hospital LaboratoryCertificate of Accreditation, Hospital05D0613039
- Redwood Coast PaceCertificate of Waiver, Other05D2183480
- Redwood Pediatric Medical GroupCertificate of Waiver, Physician office05D0613017
Related
Questions
What is the CLIA number for Fortuna Community Health Center in Fortuna?
05D2105027, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fortuna Community Health Center hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D2105027 expire?
The CMS file lists November 16, 2027 as the certificate expiration date; the certificate took effect November 17, 2025.