CLIA lab
CLIA 05D1067939: Vons Pharmacy #3069
Yorba Linda, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1067939 belongs to Vons Pharmacy #3069 in Yorba Linda, 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
- 05D1067939
- Lab name
- Vons Pharmacy #3069
- Address
- 20445 Yorba Linda Blvd, Yorba Linda, CA 92886
- Phone
- (714) 777-1680
- Fax
- (714) 777-3386
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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- Caduceus Medical GroupCertificate of Waiver, Physician office05D0912888
- Caduceus Medical GroupCertificate of Waiver, Physician office05D2335952
- Casa De Yorba LindaCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities05D2155622
- Garden Park LabsCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities05D1084093
- Hillside Horizon for Teens LLCCertificate of Waiver, Other05D2329894
- Lighthouse LabsCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities05D1084092
- Malcolm Ke, MD A Professional CorporationCertificate of Compliance, Physician office05D2015360
Related
Questions
What is the CLIA number for Vons Pharmacy #3069 in Yorba Linda?
05D1067939, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Vons Pharmacy #3069 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1067939 expire?
The CMS file lists April 26, 2027 as the certificate expiration date; the certificate took effect April 27, 2025.