CLIA lab
CLIA 05D2056248: Vons Pharmacy #2254
Glendale, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2056248 belongs to Vons Pharmacy #2254 in Glendale, CA.
Certificate of Waiver, effective March 25, 2025, expires March 24, 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
- March 25, 2025
- Certificate expiration
- March 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 25, 2013
- 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
- 05D2056248
- Lab name
- Vons Pharmacy #2254
- Address
- 311 W Los Feliz Road, Glendale, CA 91204
- Phone
- (818) 246-8189
- Fax
- (818) 246-0122
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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- A & P Home Health, IncCertificate of Waiver, Home health agency05D1098714
- A To Z Home Health, IncCertificate of Waiver, Home health agency05D1088605
- A&e Home Health Care IncCertificate of Waiver, Home health agency05D2315987
- Aaa Hospice Care & Nursing IncCertificate of Waiver, Hospice05D2313109
- Above Care Home HealthCertificate of Waiver, Independent05D2168402
- Advance Care Home Health Agency IncCertificate of Waiver, Home health agency05D2220052
- Advanced Global Healthcare IncCertificate of Waiver, Hospice05D2240620
- Adventist Health Glendale LaboratoryCertificate of Accreditation, Hospital05D0059868
- Adventist Health Glendale LaboratoryCertificate of Waiver, Hospital05D0874231
Related
Questions
What is the CLIA number for Vons Pharmacy #2254 in Glendale?
05D2056248, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Vons Pharmacy #2254 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2056248 expire?
The CMS file lists March 24, 2027 as the certificate expiration date; the certificate took effect March 25, 2025.