CLIA lab

CLIA 05D1069272: Hendricks Pharmacy

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

CLIA number 05D1069272 belongs to Hendricks Pharmacy in Claremont, CA.

Certificate of Waiver, effective May 31, 2025, expires May 30, 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
May 31, 2025
Certificate expiration
May 30, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 31, 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
05D1069272
Lab name
Hendricks Pharmacy
Address
137 N Harvard Ave, Claremont, CA 91711
Phone
(909) 624-1611
Fax
(909) 626-8963

Annual test volume the lab reported

Waived tests
200

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

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Questions

What is the CLIA number for Hendricks Pharmacy in Claremont?

05D1069272, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Hendricks Pharmacy hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1069272 expire?

The CMS file lists May 30, 2027 as the certificate expiration date; the certificate took effect May 31, 2025.

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