CLIA lab

CLIA 05D2065503: Vons Pharmacy #1897

Santee, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D2065503 belongs to Vons Pharmacy #1897 in Santee, CA.

Certificate of Waiver, effective August 4, 2025, expires August 3, 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 4, 2025
Certificate expiration
August 3, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 10, 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
05D2065503
Lab name
Vons Pharmacy #1897
Address
9643 Mission Gorge Rd, Santee, CA 92071
Phone
(619) 596-5977
Fax
(619) 596-5980

Annual test volume the lab reported

Waived tests
2,000

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 #1897 in Santee?

05D2065503, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Vons Pharmacy #1897 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2065503 expire?

The CMS file lists August 3, 2027 as the certificate expiration date; the certificate took effect August 4, 2025.

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