CLIA lab
CLIA 05D2266217: Ikigai Physician Group
Fortuna, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2266217 belongs to Ikigai Physician Group in Fortuna, CA.
Certificate of Waiver, effective April 27, 2026, expires April 26, 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 27, 2026
- Certificate expiration
- April 26, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 8, 2022
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2266217
- Lab name
- Ikigai Physician Group
- Address
- 3429 Renner Dr Ste B, Fortuna, CA 95540
- Phone
- (707) 726-2255
- Fax
- (707) 949-9715
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Fortuna Pharmacy IncCertificate of Waiver, Pharmacy05D2316599
- Fortuna RehabilitationCertificate of Waiver, Skilled nursing or nursing facility05D2027526
- 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 Ikigai Physician Group in Fortuna?
05D2266217, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ikigai Physician Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2266217 expire?
The CMS file lists April 26, 2028 as the certificate expiration date; the certificate took effect April 27, 2026.