CLIA lab
CLIA 05D2111724: Hospice of Humboldt Ida Emmerson Hospice House
Eureka, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2111724 belongs to Hospice of Humboldt Ida Emmerson Hospice House in Eureka, CA.
Certificate of Waiver, effective April 13, 2026, expires April 12, 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
- April 13, 2026
- Certificate expiration
- April 12, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 13, 2016
- Facility type
- Hospice
- Ownership (control type)
- Private
- 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
- 05D2111724
- Lab name
- Hospice of Humboldt Ida Emmerson Hospice House
- Address
- 3327 Timber Fall Ct Bldg A, Eureka, CA 95503
- Phone
- (707) 445-8443
- Fax
- (707) 445-2209
Annual test volume the lab reported
- Waived tests
- 350
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Hospice of Humboldt, Inc.CMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Hospice of Humboldt Ida Emmerson Hospice House in Eureka?
05D2111724, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hospice of Humboldt Ida Emmerson Hospice House hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2111724 expire?
The CMS file lists April 12, 2028 as the certificate expiration date; the certificate took effect April 13, 2026.