CLIA lab
CLIA 05D2058084: Vons Pharmacy # 2250
Granada Hills, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2058084 belongs to Vons Pharmacy # 2250 in Granada Hills, CA.
Certificate of Waiver, effective April 29, 2025, expires April 28, 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 29, 2025
- Certificate expiration
- April 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 29, 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
- 05D2058084
- Lab name
- Vons Pharmacy # 2250
- Address
- 16830 San Fernando Mission Blvd., Granada Hills, CA 91344
- Phone
- (818) 831-5059
- Fax
- (818) 832-6541
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 Granada Hills, CA
- Aegis of Granada HillsCertificate of Waiver, Assisted living facility05D2046223
- Afc Urgent Care San DiegoCertificate of Waiver, Physician office05D2129632
- All Valley Congregate Living, IncCertificate of Waiver, Other05D2306802
- Allergy & Asthma Relief ExpertsCertificate of Waiver, Physician office05D2009173
- Altruistic Hospice, IncCertificate of Waiver, Hospice05D2131374
- Amazing Health Care ServicesCertificate of Waiver, Home health agency05D2337449
- Aurora Congregate HealthCertificate of Waiver, Skilled nursing or nursing facility05D2335213
- Believe Detox CenterCertificate of Waiver, Ancillary test site05D2263056
- Better Days Adult Day Health Care CenterCertificate of Waiver, Other05D2335088
- Bright Future Home Care Services, IncCertificate of Waiver, Home health agency05D2293453
Related
Questions
What is the CLIA number for Vons Pharmacy # 2250 in Granada Hills?
05D2058084, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Vons Pharmacy # 2250 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2058084 expire?
The CMS file lists April 28, 2027 as the certificate expiration date; the certificate took effect April 29, 2025.