CLIA lab

CLIA 05D1067915: Pavilions Pharmacy #2089

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

CLIA number 05D1067915 belongs to Pavilions Pharmacy #2089 in Laguna Beach, CA.

Certificate of Waiver, effective April 27, 2025, expires April 26, 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
April 27, 2025
Certificate expiration
April 26, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 27, 2007
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
05D1067915
Lab name
Pavilions Pharmacy #2089
Address
600 North Coast Hwy, Laguna Beach, CA 92651
Phone
(949) 376-3383
Fax
(949) 376-4462

Annual test volume the lab reported

Waived tests
500

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 Pavilions Pharmacy #2089 in Laguna Beach?

05D1067915, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pavilions Pharmacy #2089 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1067915 expire?

The CMS file lists April 26, 2027 as the certificate expiration date; the certificate took effect April 27, 2025.

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