CLIA lab
CLIA 05D2110002: 986 Pharmacy
La Verne, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2110002 belongs to 986 Pharmacy in La Verne, CA.
Certificate of Waiver, effective March 7, 2026, expires March 6, 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
- March 7, 2026
- Certificate expiration
- March 6, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 7, 2016
- 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
- 05D2110002
- Lab name
- 986 Pharmacy
- Address
- 2143 Foothill Blvd, La Verne, CA 91750
- Phone
- (909) 596-6168
- Fax
- (909) 596-6155
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in La Verne, CA
- Blessed Health Care Provider IncCertificate of Waiver, Home health agency05D1070865
- Healthcare Partners Affiliates Medical GroupCertificate for Provider-Performed Microscopy Procedures, Physician office05D0899790
- Ideal Home Care IncCertificate of Waiver, Home health agency05D0918657
- La Verne Family Medical CenterCertificate of Waiver, Physician office05D1029294
- May Medical Management CorporationCertificate of Waiver, Physician office05D0902373
- Premier Family Medicine AssociatesCertificate of Waiver, Physician office05D2149710
- Univ of Laverne Student Health CTRCertificate of Waiver, School or student health service05D0882976
- Vons Pharmacy # 2832Certificate of Waiver, Pharmacy05D2056210
- Woods Health ServicesCertificate of Waiver, Skilled nursing or nursing facility05D0896074
Related
Questions
What is the CLIA number for 986 Pharmacy in La Verne?
05D2110002, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does 986 Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2110002 expire?
The CMS file lists March 6, 2028 as the certificate expiration date; the certificate took effect March 7, 2026.