CLIA lab

CLIA 05D2288227: Grace Community Pharmacy

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

CLIA number 05D2288227 belongs to Grace Community Pharmacy in La Palma, CA.

Certificate of Waiver, effective August 23, 2025, expires August 22, 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
August 23, 2025
Certificate expiration
August 22, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 23, 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
05D2288227
Lab name
Grace Community Pharmacy
Address
4881 La Palma Ave, La Palma, CA 90623
Phone
(562) 860-0586
Fax
(562) 860-0767

Annual test volume the lab reported

Waived tests
100

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 Grace Community Pharmacy in La Palma?

05D2288227, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Grace Community Pharmacy hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2288227 expire?

The CMS file lists August 22, 2027 as the certificate expiration date; the certificate took effect August 23, 2025.

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