CLIA lab
CLIA 05D0971920: Costo Pharmacy #411
Fountain Valley, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0971920 belongs to Costo Pharmacy #411 in Fountain Valley, CA.
Certificate of Waiver, effective March 24, 2026, expires March 23, 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
- March 24, 2026
- Certificate expiration
- March 23, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 24, 2000
- Facility type
- Pharmacy
- 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
- 05D0971920
- Lab name
- Costo Pharmacy #411
- Address
- 17900 New Hope St, Fountain Valley, CA 92708
- Phone
- (714) 434-7048
Other labs in Fountain Valley, CA
- Acacia HH&P of Southern California, LLCCertificate of Waiver, Home health agency05D2121243
- Acacia Hospice and Palliative ServicesCertificate of Waiver, Hospice05D2104659
- Ahmed Alsadek, M.D., IncCertificate of Waiver, Physician office05D2305500
- Ajit S Sawhney, MDCertificate of Waiver, Physician office05D2120988
- Alliance Hospice & Palliative Care IncCertificate of Waiver, Hospice05D2127225
- Ark Clinical Research, LLCCertificate of Waiver, Physician office05D2230389
- Asana Recovery - MagnoliaCertificate of Waiver, Other05D2260331
- Best Golden Care Hospice IncCertificate of Waiver, Hospice05D2059165
- Bio Path Medical Group IncCertificate of Compliance, Independent05D0914742
- Bio-Path Medical Group IncCertificate of Compliance, Independent05D0974660
Related
Questions
What is the CLIA number for Costo Pharmacy #411 in Fountain Valley?
05D0971920, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Costo Pharmacy #411 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0971920 expire?
The CMS file lists March 23, 2028 as the certificate expiration date; the certificate took effect March 24, 2026.