CLIA lab

CLIA 05D2268542: Cvs/Pharmacy #08589

Fontana, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D2268542 belongs to Cvs/Pharmacy #08589 in Fontana, CA.

Certificate of Waiver, effective September 13, 2026, expires September 12, 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
September 13, 2026
Certificate expiration
September 12, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 13, 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
05D2268542
Lab name
Cvs/Pharmacy #08589
Address
15286 Summit Ave, Fontana, CA 92336
Phone
(401) 765-1500
Fax
(401) 652-9857

Annual test volume the lab reported

Waived tests
4,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Cvs/Pharmacy #08589 in Fontana?

05D2268542, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Cvs/Pharmacy #08589 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2268542 expire?

The CMS file lists September 12, 2028 as the certificate expiration date; the certificate took effect September 13, 2026.

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