CLIA lab
CLIA 05D2057145: Vons Pharmacy #2162
San Pedro, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2057145 belongs to Vons Pharmacy #2162 in San Pedro, CA.
Certificate of Waiver, effective April 10, 2025, expires April 9, 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 10, 2025
- Certificate expiration
- April 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 10, 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
- 05D2057145
- Lab name
- Vons Pharmacy #2162
- Address
- 1440 W 25th St, San Pedro, CA 90732
- Phone
- (310) 832-0319
- Fax
- (310) 832-1142
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.
Other labs in San Pedro, CA
- Coastwise Integrated Recovery IncCertificate of Waiver, Other05D2298389
- Cor Healthcare Medical AssociatesCertificate of Waiver, Physician office05D0553670
- Csi Medical GroupCertificate of Compliance, Physician office05D0686492
- Francisco K Correa MD IncCertificate of Waiver, Physician office05D2157566
- Fred Brown Recovery Services IncCertificate of Waiver, Comprehensive outpatient rehab facility05D2125649
- Hanaa Hanna MD IncCertificate of Waiver, Physician office05D1074610
- Harbor Community ClinicCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center05D0698919
- Healthcare Partners AffiliatesCertificate for Provider-Performed Microscopy Procedures, Physician office05D0914886
- House of HopeCertificate of Waiver, Other05D2116471
- House of HopeCertificate of Waiver, Other05D2185987
Related
Questions
What is the CLIA number for Vons Pharmacy #2162 in San Pedro?
05D2057145, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Vons Pharmacy #2162 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2057145 expire?
The CMS file lists April 9, 2027 as the certificate expiration date; the certificate took effect April 10, 2025.