CLIA lab
CLIA 05D2271489: Cvs/Pharmacy #09644
Hesperia, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2271489 belongs to Cvs/Pharmacy #09644 in Hesperia, CA.
Certificate of Waiver, effective November 2, 2024, expires November 1, 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 2, 2024
- Certificate expiration
- November 1, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 2, 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
- 05D2271489
- Lab name
- Cvs/Pharmacy #09644
- Address
- 16975 Bear Valley Rd, Hesperia, CA 92345
- Phone
- (760) 947-7043
- Fax
- (760) 947-7853
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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- Friendly Medical CenterCertificate of Waiver, Physician office05D0909764
- Hannon ChiropracticCertificate of Waiver, Other practitioner05D2084948
- Hesperia Clinica Medica FamiliarCertificate of Waiver, Physician office05D2025982
Related
Questions
What is the CLIA number for Cvs/Pharmacy #09644 in Hesperia?
05D2271489, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Cvs/Pharmacy #09644 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2271489 expire?
The CMS file lists November 1, 2026 as the certificate expiration date; the certificate took effect November 2, 2024.