CLIA lab

CLIA 05D1035499: Sav-On Pharmacy #3574

Tustin, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D1035499 belongs to Sav-On Pharmacy #3574 in Tustin, CA.

Certificate of Waiver, effective January 4, 2025, expires January 3, 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 of Waiver
Certificate effective
January 4, 2025
Certificate expiration
January 3, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 4, 2005
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
05D1035499
Lab name
Sav-On Pharmacy #3574
Address
13270 Newport Avenue, Tustin, CA 92780
Phone
(714) 544-9262
Fax
(714) 544-9320

Annual test volume the lab reported

Waived tests
1,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Sav-On Pharmacy #3574 in Tustin?

05D1035499, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Sav-On Pharmacy #3574 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1035499 expire?

The CMS file lists January 3, 2027 as the certificate expiration date; the certificate took effect January 4, 2025.

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