CLIA lab
CLIA 05D1038877: Sav on Pharmacy #4563
San Clemente, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1038877 belongs to Sav on Pharmacy #4563 in San Clemente, CA.
Certificate of Waiver, effective March 29, 2025, expires March 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 of Waiver
- Certificate effective
- March 29, 2025
- Certificate expiration
- March 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 29, 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
- 05D1038877
- Lab name
- Sav on Pharmacy #4563
- Address
- 989 Avenida Pico, San Clemente, CA 92673
- Phone
- (949) 369-5596
- Fax
- (949) 369-5691
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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- Eleven 11 Recovery LLCCertificate of Waiver, Other05D2317563
- Encinitas DetoxCertificate of Waiver, Other05D2306589
- Green Dermatologic Medical GroupCertificate of Compliance, Physician office05D0934428
- Harvard Eye AssociatesCertificate of Waiver, Physician office05D2126188
- Health and Wellness Center IncCertificate of Waiver, Physician office05D2016782
- Healthcare Partners Affiliates Medical GroupCertificate of Waiver, Physician office05D0579395
- Hoag ClinicCertificate of Waiver, Physician office05D2193830
- Hoag ClinicCertificate of Waiver, Physician office05D2302464
Related
Questions
What is the CLIA number for Sav on Pharmacy #4563 in San Clemente?
05D1038877, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sav on Pharmacy #4563 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1038877 expire?
The CMS file lists March 28, 2027 as the certificate expiration date; the certificate took effect March 29, 2025.