CLIA lab
CLIA 05D2300341: Walgreens 12841
Grand Terrace, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2300341 belongs to Walgreens 12841 in Grand Terrace, CA.
Certificate of Waiver, effective March 7, 2026, expires March 6, 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
- March 7, 2026
- Certificate expiration
- March 6, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 7, 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
- 05D2300341
- Lab name
- Walgreens 12841
- Address
- 22456 Barton Rd, Grand Terrace, CA 92313
- Phone
- (909) 824-2619
- Fax
- (909) 824-2846
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.
Other labs in Grand Terrace, CA
Related
Questions
What is the CLIA number for Walgreens 12841 in Grand Terrace?
05D2300341, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens 12841 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2300341 expire?
The CMS file lists March 6, 2028 as the certificate expiration date; the certificate took effect March 7, 2026.