CLIA lab
CLIA 05D2259459: Walgreens #09021
San Jacinto, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2259459 belongs to Walgreens #09021 in San Jacinto, CA.
Certificate of Waiver, effective May 5, 2026, expires May 4, 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
- May 5, 2026
- Certificate expiration
- May 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 5, 2022
- 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
- 05D2259459
- Lab name
- Walgreens #09021
- Address
- 1811 S San Jacinto Ave, San Jacinto, CA 92583
- Phone
- (951) 487-6185
- Fax
- (951) 487-9694
Annual test volume the lab reported
- Waived tests
- 12,775
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in San Jacinto, CA
- Ace PediatricsCertificate of Waiver, Physician office05D1068062
- Apple Urgent Care-San JacintoCertificate of Waiver, Physician office05D2299652
- Cvs/Pharmacy #08943Certificate of Waiver, Pharmacy05D2271815
- Dap Health - San JacintoCertificate of Waiver, Federally qualified health center05D2132014
- Diamond Valley DialysisCertificate of Waiver, End stage renal disease dialysis facility05D2000270
- Discovery Practice Management- San JacintoCertificate of Waiver, Other05D2325274
- Lifekind HealthCertificate of Registration, Physician office05D2132584
- Lifekind HealthCertificate of Waiver, Physician office05D2324222
- MT San Jacinto Community College DistrictCertificate of Waiver, School or student health service05D2196005
- Petra Pharmacy Corp DBA Enova Care PharmacyCertificate of Waiver, Pharmacy05D2226650
Related
Questions
What is the CLIA number for Walgreens #09021 in San Jacinto?
05D2259459, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens #09021 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2259459 expire?
The CMS file lists May 4, 2028 as the certificate expiration date; the certificate took effect May 5, 2026.