CLIA lab

CLIA 05D2279771: ST, Mary's Pharmacy, Inc.

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

CLIA number 05D2279771 belongs to ST, Mary's Pharmacy, Inc. in Fresno, CA.

Certificate of Waiver, effective April 6, 2025, expires April 5, 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
April 6, 2025
Certificate expiration
April 5, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 6, 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
05D2279771
Lab name
ST, Mary's Pharmacy, Inc.
Additional name
DBA Member of the Medicine
Address
3150 E Shields Ave Suite 105, Fresno, CA 93724
Phone
(559) 223-9090

Annual test volume the lab reported

Waived tests
200

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 ST, Mary's Pharmacy, Inc. in Fresno?

05D2279771, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does ST, Mary's Pharmacy, Inc. hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2279771 expire?

The CMS file lists April 5, 2027 as the certificate expiration date; the certificate took effect April 6, 2025.

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