CLIA lab

CLIA 05D2057149: Vons Pharmacy #1753

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

CLIA number 05D2057149 belongs to Vons Pharmacy #1753 in Bishop, 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

Run it in Rivvi

Map your lab's test names to LOINC codes

Open in Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

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
05D2057149
Lab name
Vons Pharmacy #1753
Address
1190 N Main St, Bishop, CA 93514
Phone
(760) 872-8114
Fax
(760) 872-3963

Annual test volume the lab reported

Waived tests
1,000

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

Other labs in Bishop, CA

Related

Questions

What is the CLIA number for Vons Pharmacy #1753 in Bishop?

05D2057149, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Vons Pharmacy #1753 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2057149 expire?

The CMS file lists April 9, 2027 as the certificate expiration date; the certificate took effect April 10, 2025.

Try it on your own data today.

Free to start. Most teams are using it the same day.