CLIA lab
CLIA 05D2296733: Walgreens 04416
Cupertino, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2296733 belongs to Walgreens 04416 in Cupertino, CA.
Certificate of Waiver, effective January 4, 2026, expires January 3, 2028.
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 4, 2026
- Certificate expiration
- January 3, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 4, 2024
- 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
- 05D2296733
- Lab name
- Walgreens 04416
- Address
- 20011 Bollinger Rd, Cupertino, CA 95014
- Phone
- (408) 973-8402
- Fax
- (408) 973-8125
Annual test volume the lab reported
- Waived tests
- 12,775
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Apple Wellness CenterCertificate of Waiver, Physician office05D2059722
- Bea Medical Group, IncCertificate of Waiver, Physician office05D0720545
- Cuperino PediatricsCertificate of Waiver, Physician office05D1080087
- De Anza College Health ServicesCertificate for Provider-Performed Microscopy Procedures, School or student health service05D0859425
- Elite Plus Medical Clinic, IncCertificate of Waiver, Physician office05D2325399
- Foothill Medical ClinicCertificate of Waiver, Physician office05D0947079
- Gloria F Lo, M D , IncCertificate of Waiver, Physician office05D0932439
- Rancho San Antonio Retirement Housing CorpCertificate of Waiver, Assisted living facility05D2217206
Related
Questions
What is the CLIA number for Walgreens 04416 in Cupertino?
05D2296733, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens 04416 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2296733 expire?
The CMS file lists January 3, 2028 as the certificate expiration date; the certificate took effect January 4, 2026.