CLIA lab
CLIA 05D2058090: Vons Pharmacy #2692
Simi Valley, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2058090 belongs to Vons Pharmacy #2692 in Simi Valley, 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
- 05D2058090
- Lab name
- Vons Pharmacy #2692
- Address
- 2938 Tapo Canyon Rd, Simi Valley, CA 93063
- Phone
- (805) 426-6040
- Fax
- (805) 426-6025
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 Simi Valley, CA
- 31st State Medical CorpCertificate of Accreditation, Physician office05D2297174
- A - 1 Home Health Services IncCertificate of Waiver, Home health agency05D0993671
- Abdul Nawabi, MD IncCertificate for Provider-Performed Microscopy Procedures, Physician office05D0981292
- Absolute Comfort Home Healthcare, IncCertificate of Waiver, Home health agency05D2319123
- Advanced Adult Day Health Care CenterCertificate of Waiver, Ambulance05D1002037
- Adventist Health Physicians NetworkCertificate for Provider-Performed Microscopy Procedures, Physician office05D0971038
- Adventist Health Physicians NetworkCertificate for Provider-Performed Microscopy Procedures, Physician office05D0981293
- Adventist Health Simi ValleyCertificate of Accreditation, Hospital05D0584279
- Adventist Health Simi ValleyCertificate of Waiver, Hospital05D1024942
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D0973349
Related
Questions
What is the CLIA number for Vons Pharmacy #2692 in Simi Valley?
05D2058090, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Vons Pharmacy #2692 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2058090 expire?
The CMS file lists April 28, 2027 as the certificate expiration date; the certificate took effect April 29, 2025.