CLIA lab

CLIA 05D2271390: Cvs/Pharmacy #03117

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

CLIA number 05D2271390 belongs to Cvs/Pharmacy #03117 in Atwater, CA.

Certificate of Waiver, effective November 1, 2024, expires October 31, 2026.

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
November 1, 2024
Certificate expiration
October 31, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 1, 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
05D2271390
Lab name
Cvs/Pharmacy #03117
Address
1651 Bellevue Ave, Atwater, CA 95301
Phone
(866) 389-2727
Fax
(401) 652-1360

Annual test volume the lab reported

Waived tests
13,000

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 #03117 in Atwater?

05D2271390, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Cvs/Pharmacy #03117 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2271390 expire?

The CMS file lists October 31, 2026 as the certificate expiration date; the certificate took effect November 1, 2024.

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