CLIA lab
CLIA 05D2065766: Vons Pharmacy # 2858
Pasadena, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2065766 belongs to Vons Pharmacy # 2858 in Pasadena, CA.
Certificate of Waiver, effective December 14, 2024, expires December 13, 2026.
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
- December 14, 2024
- Certificate expiration
- December 13, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 16, 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
- 05D2065766
- Lab name
- Vons Pharmacy # 2858
- Address
- 2355 E Colorado Blvd, Pasadena, CA 91107
- Phone
- (626) 744-2619
- Fax
- (626) 744-2630
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 # 2858 in Pasadena?
05D2065766, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Vons Pharmacy # 2858 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2065766 expire?
The CMS file lists December 13, 2026 as the certificate expiration date; the certificate took effect December 14, 2024.