CLIA lab
CLIA 05D2155695: Villa Park Pharmacy
Villa Park, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2155695 belongs to Villa Park Pharmacy in Villa Park, CA.
Certificate of Waiver, effective October 3, 2026, expires October 2, 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
- October 3, 2026
- Certificate expiration
- October 2, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 3, 2018
- 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
- 05D2155695
- Lab name
- Villa Park Pharmacy
- Address
- 17821 Santiago Blvd, Villa Park, CA 92861
- Phone
- (714) 998-3030
- Fax
- (714) 998-6060
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 Villa Park, CA
Related
Questions
What is the CLIA number for Villa Park Pharmacy in Villa Park?
05D2155695, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Villa Park Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2155695 expire?
The CMS file lists October 2, 2028 as the certificate expiration date; the certificate took effect October 3, 2026.