CLIA lab

CLIA 05D1042057: Sav-On Pharmacy #2515

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

CLIA number 05D1042057 belongs to Sav-On Pharmacy #2515 in Chino Hills, 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
05D1042057
Lab name
Sav-On Pharmacy #2515
Address
3255 Grand Ave, Chino Hills, CA 91709
Phone
(909) 590-8373
Fax
(909) 590-3656

Annual test volume the lab reported

Waived tests
2,000

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 #2515 in Chino Hills?

05D1042057, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Sav-On Pharmacy #2515 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1042057 expire?

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

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