CLIA lab
CLIA 05D2076726: Vons Pharmacy #2400
Mammoth Lakes, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2076726 belongs to Vons Pharmacy #2400 in Mammoth Lakes, CA.
Certificate of Waiver, effective April 24, 2026, expires April 23, 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
- April 24, 2026
- Certificate expiration
- April 23, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 24, 2014
- 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
- 05D2076726
- Lab name
- Vons Pharmacy #2400
- Address
- 481 Old Mammoth Rd, Mammoth Lakes, CA 93546
- Phone
- (760) 934-4337
- Fax
- (760) 934-8097
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.
Other labs in Mammoth Lakes, CA
Related
Questions
What is the CLIA number for Vons Pharmacy #2400 in Mammoth Lakes?
05D2076726, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Vons Pharmacy #2400 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2076726 expire?
The CMS file lists April 23, 2028 as the certificate expiration date; the certificate took effect April 24, 2026.