CLIA lab

CLIA 05D1042024: Sav-On Pharmacy # 0594

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

CLIA number 05D1042024 belongs to Sav-On Pharmacy # 0594 in San Dimas, CA.

Certificate of Waiver, effective January 30, 2026, expires January 29, 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
January 30, 2026
Certificate expiration
January 29, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 17, 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
05D1042024
Lab name
Sav-On Pharmacy # 0594
Address
220 East Bonita Avenue, San Dimas, CA 91773
Phone
(909) 599-8874
Fax
(909) 599-8843

Annual test volume the lab reported

Waived tests
100

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

Other labs in San Dimas, CA

Related

Questions

What is the CLIA number for Sav-On Pharmacy # 0594 in San Dimas?

05D1042024, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Sav-On Pharmacy # 0594 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1042024 expire?

The CMS file lists January 29, 2028 as the certificate expiration date; the certificate took effect January 30, 2026.

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