CLIA lab
CLIA 05D2058087: Vons Pharmacy # 2091
San Juan Capistrano, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2058087 belongs to Vons Pharmacy # 2091 in San Juan Capistrano, 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
- 05D2058087
- Lab name
- Vons Pharmacy # 2091
- Address
- 32401 Camino Capistrano, San Juan Capistrano, CA 92675
- Phone
- (949) 661-3492
- Fax
- (623) 336-6581
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 # 2091 in San Juan Capistrano?
05D2058087, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Vons Pharmacy # 2091 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2058087 expire?
The CMS file lists April 28, 2027 as the certificate expiration date; the certificate took effect April 29, 2025.