CLIA lab

CLIA 05D2272613: Cvs/Pharmacy #09847

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

CLIA number 05D2272613 belongs to Cvs/Pharmacy #09847 in Lake Elsinore, CA.

Certificate of Waiver, effective November 23, 2024, expires November 22, 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 23, 2024
Certificate expiration
November 22, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 23, 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
05D2272613
Lab name
Cvs/Pharmacy #09847
Address
29985 Canyon Hills Rd, Lake Elsinore, CA 92532
Phone
(951) 244-6001
Fax
(401) 652-9541

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.

Other labs in Lake Elsinore, CA

Related

Questions

What is the CLIA number for Cvs/Pharmacy #09847 in Lake Elsinore?

05D2272613, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Cvs/Pharmacy #09847 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2272613 expire?

The CMS file lists November 22, 2026 as the certificate expiration date; the certificate took effect November 23, 2024.

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