CLIA lab
CLIA 05D2284904: Fortuna Family Medicine Inc
Fortuna, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2284904 belongs to Fortuna Family Medicine Inc in Fortuna, CA.
Certificate for Provider-Performed Microscopy Procedures, effective June 29, 2025, expires June 28, 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
- June 29, 2025
- Certificate expiration
- June 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 29, 2023
- Facility type
- Rural health clinic
- 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
- 05D2284904
- Lab name
- Fortuna Family Medicine Inc
- Address
- 2404 Newburg Road, Fortuna, CA 95540
- Phone
- (707) 617-2002
- Fax
- (707) 682-6232
Annual test volume the lab reported
- Waived tests
- 315
- Provider-performed microscopy tests
- 150
- Total
- 465
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Fortuna, CA
- Fortuna Community Health CenterCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center05D2105027
- 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 Family Medicine Inc in Fortuna?
05D2284904, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fortuna Family Medicine Inc hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D2284904 expire?
The CMS file lists June 28, 2027 as the certificate expiration date; the certificate took effect June 29, 2025.