CLIA lab
CLIA 05D2065770: Vons Pharmacy # 3058
Yucca Valley, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2065770 belongs to Vons Pharmacy # 3058 in Yucca Valley, CA.
Certificate of Waiver, effective July 20, 2026, expires July 19, 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
- July 20, 2026
- Certificate expiration
- July 19, 2028
- 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
- 05D2065770
- Lab name
- Vons Pharmacy # 3058
- Address
- 57590 29 Palms Hwy, Yucca Valley, CA 92284
- Phone
- (760) 365-0651
- Fax
- (760) 365-9078
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.
Other labs in Yucca Valley, CA
- Archangel Hospice, LLCCertificate of Waiver, Hospice05D2157492
- Desert Oasis HealthcareCertificate of Waiver, Physician office05D0572881
- Desert Oasis HealthcareCertificate of Waiver, Physician office05D1065761
- Desert Oasis HealthcareCertificate of Compliance, Independent05D2065818
- Desert Oasis Healthcare WellnessCertificate of Waiver, Physician office05D0878101
- Family Health CenterCertificate of Waiver, Rural health clinic05D1075487
- Hi Desert Family Medical ClinicCertificate of Waiver, Physician office05D0895301
- Hi-Desert DialysisCertificate of Waiver, End stage renal disease dialysis facility05D0962073
- Morongo Basin Community Health CenterCertificate of Waiver, Federally qualified health center05D1046016
- Morongo Basin Ob/Gyn Group IncCertificate of Waiver, Physician office05D1029261
Related
Questions
What is the CLIA number for Vons Pharmacy # 3058 in Yucca Valley?
05D2065770, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Vons Pharmacy # 3058 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2065770 expire?
The CMS file lists July 19, 2028 as the certificate expiration date; the certificate took effect July 20, 2026.