CLIA lab
CLIA 05D2065507: Vons Pharmacy #1796
Yucaipa, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2065507 belongs to Vons Pharmacy #1796 in Yucaipa, CA.
Certificate of Waiver, effective June 6, 2026, expires June 5, 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
- June 6, 2026
- Certificate expiration
- June 5, 2028
- 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
- 05D2065507
- Lab name
- Vons Pharmacy #1796
- Address
- 33644 Yucaipa Blvd, Yucaipa, CA 92399
- Phone
- (909) 790-1961
- Fax
- (909) 797-9526
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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- Blandford HouseCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities05D1070789
- Canterbury HouseCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities05D1070790
- Casa Serena Congregate Living IncCertificate of Waiver, Skilled nursing or nursing facility05D2332633
- Crafton Hills College Health and Wellness CenterCertificate of Waiver, School or student health service05D2297981
- Cvs/Pharmacy #09649Certificate of Waiver, Pharmacy05D2268817
- Family Medical Urgent CareCertificate of Waiver, Physician office05D0899358
- Hillside HouseCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities05D2001293
- Jonbec Care Inc Yucaipa Adult Day CTRCertificate of Waiver, Other05D0989661
- Maren Medical GroupCertificate of Waiver, Physician office05D2325323
Related
Questions
What is the CLIA number for Vons Pharmacy #1796 in Yucaipa?
05D2065507, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Vons Pharmacy #1796 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2065507 expire?
The CMS file lists June 5, 2028 as the certificate expiration date; the certificate took effect June 6, 2026.