CLIA lab

CLIA 05D2274884: Cvs/Pharmacy #9761

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

CLIA number 05D2274884 belongs to Cvs/Pharmacy #9761 in Benicia, CA.

Certificate of Waiver, effective January 11, 2025, expires January 10, 2027.

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
January 11, 2025
Certificate expiration
January 10, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 11, 2023
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
05D2274884
Lab name
Cvs/Pharmacy #9761
Address
2100 Columbus Pkwy, Benicia, CA 94510
Phone
(707) 747-3453
Fax
(707) 747-6022

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 #9761 in Benicia?

05D2274884, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Cvs/Pharmacy #9761 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2274884 expire?

The CMS file lists January 10, 2027 as the certificate expiration date; the certificate took effect January 11, 2025.

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