CLIA lab
CLIA 05D2111979: Vons Pharmacy #2386
Sun City, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2111979 belongs to Vons Pharmacy #2386 in Sun City, CA.
Certificate of Waiver, effective April 19, 2026, expires April 18, 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 19, 2026
- Certificate expiration
- April 18, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 19, 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
- 05D2111979
- Lab name
- Vons Pharmacy #2386
- Address
- 27220 Sun City Blvd, Sun City, CA 92586
- Phone
- (951) 679-8889
- Fax
- (951) 679-5997
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 Sun City, CA
- Bhoodev Tiwari, MD, FaccCertificate of Waiver, Physician office05D0935257
- Brian L Nguyen MD IncCertificate of Waiver, Physician office05D0984303
- David H Nguyen, MD IncCertificate of Waiver, Physician office05D0975144
- David Stanford MDCertificate of Waiver, Physician office05D0980627
- Hope Hospice and Healthcare, IncCertificate of Waiver, Hospice05D1062634
- Menifee Valley Medical CenterCertificate of Accreditation, Hospital05D0574222
- Rancho Family Medical GroupCertificate of Waiver, Other practitioner05D2138303
- Stephen H Nguyen MDCertificate of Waiver, Physician office05D1018955
- Susan M Danek MDCertificate of Waiver, Physician office05D2155693
- T D Nguyen, MD IncCertificate of Waiver, Physician office05D1018956
Related
Questions
What is the CLIA number for Vons Pharmacy #2386 in Sun City?
05D2111979, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Vons Pharmacy #2386 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2111979 expire?
The CMS file lists April 18, 2028 as the certificate expiration date; the certificate took effect April 19, 2026.