CLIA lab

CLIA 05D2269069: Royal Oak Pharmacy

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

CLIA number 05D2269069 belongs to Royal Oak Pharmacy 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
05D2269069
Lab name
Royal Oak Pharmacy
Address
812 5th Street, Marysville, CA 95901
Phone
(530) 743-4629
Fax
(530) 743-8574

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.

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Questions

What is the CLIA number for Royal Oak Pharmacy in Marysville?

05D2269069, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Royal Oak Pharmacy hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2269069 expire?

The CMS file lists September 19, 2028 as the certificate expiration date; the certificate took effect September 20, 2026.

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