CLIA lab
CLIA 05D2057148: Vons Pharmacy #1767
Brawley, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2057148 belongs to Vons Pharmacy #1767 in Brawley, 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
- 05D2057148
- Lab name
- Vons Pharmacy #1767
- Address
- 475 W Main St, Brawley, CA 92227
- Phone
- (760) 351-3007
- Fax
- (760) 351-3012
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.
Other labs in Brawley, CA
- Brawley Endoscopy and Surgery Center DBA ValleyCertificate of Waiver, Physician office05D0932732
- Brawley Primary Health ClinicCertificate of Waiver, Physician office05D2290763
- Clinicas De Salud Del PuebloCertificate of Waiver, Community clinic05D0060945
- Dayout AdhcCertificate of Waiver, Other05D0994363
- Easyaccess Medical Group IncCertificate of Waiver, Physician office05D2326187
- Fresenius Medical Care of BrawleyCertificate of Waiver, End stage renal disease dialysis facility05D1046692
- Imperial Valley Family Care Medical GroupCertificate of Waiver, Physician office05D2125367
- Jay Kenneth P Buenaflor, MD A Medical CorporationCertificate of Waiver, Physician office05D1072544
- La Suarez ApcCertificate of Waiver, Physician office05D2304269
- La Suarez ApcCertificate of Waiver, Physician office05D2304705
Related
Questions
What is the CLIA number for Vons Pharmacy #1767 in Brawley?
05D2057148, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Vons Pharmacy #1767 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2057148 expire?
The CMS file lists April 9, 2027 as the certificate expiration date; the certificate took effect April 10, 2025.