CLIA lab
CLIA 05D2057152: Vons Pharmacy# 1623
Redondo Beach, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2057152 belongs to Vons Pharmacy# 1623 in Redondo Beach, 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
- 05D2057152
- Lab name
- Vons Pharmacy# 1623
- Address
- 4001 Inglewood Ave, Redondo Beach, CA 90278
- Phone
- (310) 349-0863
- Fax
- (310) 349-0878
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 Redondo Beach, CA
- Attain Health Home Health, IncCertificate of Waiver, Home health agency05D2107457
- Beach Cities Medicine, LLCCertificate of Waiver, Physician office05D2270856
- Beach District Surgery CenterCertificate of Waiver, Ambulatory surgery center05D1053350
- Carbon Health Medical Group of California, PCCertificate of Waiver, Physician office05D2242427
- Clear Recovery CenterCertificate of Waiver, Other05D2110005
- Clear Recovery CenterCertificate of Waiver, Other05D2198375
- Clear Recovery CenterCertificate of Waiver, Other05D2198376
- Clear Recovery Center - 326 N Prospect AveCertificate of Waiver, Other05D2336163
- Cor Redondo BeachCertificate of Waiver, Ancillary test site05D2050337
- Dr.Paul's Immediate CareCertificate of Waiver, Physician office05D2297477
Related
Questions
What is the CLIA number for Vons Pharmacy# 1623 in Redondo Beach?
05D2057152, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Vons Pharmacy# 1623 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2057152 expire?
The CMS file lists April 9, 2027 as the certificate expiration date; the certificate took effect April 10, 2025.