CLIA lab
CLIA 05D2065035: Pavilions Pharmacy # 2739
West Hollywood, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2065035 belongs to Pavilions Pharmacy # 2739 in West Hollywood, CA.
Certificate of Waiver, effective August 30, 2025, expires August 29, 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
- August 30, 2025
- Certificate expiration
- August 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 30, 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
- 05D2065035
- Lab name
- Pavilions Pharmacy # 2739
- Address
- 8969 Santa Monica Blvd., West Hollywood, CA 90069
- Phone
- (310) 273-5126
- Fax
- (310) 273-2265
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.
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- Cedars-Sinai Medical Care FoundationCertificate for Provider-Performed Microscopy Procedures, Physician office05D2313792
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- Center for Early Education, theCertificate of Waiver, School or student health service05D2219116
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Related
Questions
What is the CLIA number for Pavilions Pharmacy # 2739 in West Hollywood?
05D2065035, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pavilions Pharmacy # 2739 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2065035 expire?
The CMS file lists August 29, 2027 as the certificate expiration date; the certificate took effect August 30, 2025.