CLIA lab
CLIA 05D2070908: Pavillions Pharmacy # 2228
South Pasadena, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2070908 belongs to Pavillions Pharmacy # 2228 in South Pasadena, CA.
Certificate of Waiver, effective February 8, 2025, expires February 7, 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
- February 8, 2025
- Certificate expiration
- February 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 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
- 05D2070908
- Lab name
- Pavillions Pharmacy # 2228
- Address
- 1213 Fair Oaks Avenue, South Pasadena, CA 91030
- Phone
- (626) 799-4156
- Fax
- (626) 799-7391
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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Related
Questions
What is the CLIA number for Pavillions Pharmacy # 2228 in South Pasadena?
05D2070908, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pavillions Pharmacy # 2228 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2070908 expire?
The CMS file lists February 7, 2027 as the certificate expiration date; the certificate took effect February 8, 2025.