CLIA lab
CLIA 05D2269056: Cvs/Pharmacy #09691
Marysville, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2269056 belongs to Cvs/Pharmacy #09691 in Marysville, CA.
Certificate of Waiver, effective September 20, 2026, expires September 19, 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 20, 2026
- Certificate expiration
- September 19, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 20, 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
- 05D2269056
- Lab name
- Cvs/Pharmacy #09691
- Address
- 906 E St, Marysville, CA 95901
- Phone
- (866) 389-2727
- Fax
- (401) 652-1360
Annual test volume the lab reported
- Waived tests
- 3,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Chuk Ndulue MDCertificate of Waiver, Physician office05D0947537
- Freedom Home HealthCertificate of Waiver, Home health agency05D2080721
- Fremont - Rideout Cancer CenterCertificate of Waiver, Other05D2098303
- Fremont Rideout Health Group Cardiac RehabCertificate of Waiver, Ancillary test site05D1106155
- Harmony Health Medical ClinicCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center05D0960808
- Jasbir S Kang, MD & Sanjiv Midha, MDCertificate of Waiver, Rural health clinic05D2024800
- Marysville Dialysis CenterCertificate of Waiver, End stage renal disease dialysis facility05D1077522
- Marysville Post AcuteCertificate of Waiver, Skilled nursing or nursing facility05D0911552
Related
Questions
What is the CLIA number for Cvs/Pharmacy #09691 in Marysville?
05D2269056, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Cvs/Pharmacy #09691 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2269056 expire?
The CMS file lists September 19, 2028 as the certificate expiration date; the certificate took effect September 20, 2026.