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CLIA 05D2063079: Walgreens #13657
Mira Loma, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2063079 belongs to Walgreens #13657 in Mira Loma, CA.
Certificate of Waiver, effective May 10, 2026, expires May 9, 2028.
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
- May 10, 2026
- Certificate expiration
- May 9, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 25, 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
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Lab and contact
- CLIA number
- 05D2063079
- Lab name
- Walgreens #13657
- Address
- 12574 Limonite Ave, Mira Loma, CA 91752
- Phone
- (951) 520-0187
- Fax
- (951) 520-0386
Annual test volume the lab reported
- Waived tests
- 12,775
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mira Loma, CA
Related
Questions
What is the CLIA number for Walgreens #13657 in Mira Loma?
05D2063079, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens #13657 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2063079 expire?
The CMS file lists May 9, 2028 as the certificate expiration date; the certificate took effect May 10, 2026.
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Map your lab's test names to LOINC codes
Map the testsFree to start. Opens Rivvi, the AI workspace for healthcare teams.
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