CLIA lab
CLIA 05D2057146: Vons Pharmacy 1638
Lakewood, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2057146 belongs to Vons Pharmacy 1638 in Lakewood, 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
- 05D2057146
- Lab name
- Vons Pharmacy 1638
- Address
- 4226 Woodruff Ave, Lakewood, CA 90713
- Phone
- (562) 496-4155
- Fax
- (562) 496-4144
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 Vons Pharmacy 1638 in Lakewood?
05D2057146, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Vons Pharmacy 1638 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2057146 expire?
The CMS file lists April 9, 2027 as the certificate expiration date; the certificate took effect April 10, 2025.