CLIA lab
CLIA 05D1042063: Sav-On Pharmacy #2509
San Clemente, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1042063 belongs to Sav-On Pharmacy #2509 in San Clemente, CA.
Certificate of Waiver, effective June 17, 2025, expires June 16, 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
- June 17, 2025
- Certificate expiration
- June 16, 2027
- 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
- 05D1042063
- Lab name
- Sav-On Pharmacy #2509
- Address
- 804 Avenida Pico, San Clemente, CA 92673
- Phone
- (949) 492-9448
- Fax
- (949) 492-9763
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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- Green Dermatologic Medical GroupCertificate of Compliance, Physician office05D0934428
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- Hoag ClinicCertificate of Waiver, Physician office05D2193830
- Hoag ClinicCertificate of Waiver, Physician office05D2302464
Related
Questions
What is the CLIA number for Sav-On Pharmacy #2509 in San Clemente?
05D1042063, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sav-On Pharmacy #2509 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1042063 expire?
The CMS file lists June 16, 2027 as the certificate expiration date; the certificate took effect June 17, 2025.