CLIA lab
CLIA 05D2302494: Walgreens 09883
Irvine, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2302494 belongs to Walgreens 09883 in Irvine, CA.
Certificate of Waiver, effective April 10, 2026, expires April 9, 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
- April 10, 2026
- Certificate expiration
- April 9, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 10, 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
- 05D2302494
- Lab name
- Walgreens 09883
- Address
- 6316 Irvine Blvd, Irvine, CA 92620
- Phone
- (949) 451-1563
- Fax
- (949) 451-1833
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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- Agendia IncCertificate of Accreditation, Independent05D1089250
- Akeso Occupational Health - IrvineCertificate of Waiver, Physician office05D2314323
- Alan Nili, D.O.Certificate of Waiver, Physician office05D2294581
- Albert Saisho MDCertificate of Waiver, Physician office05D0973909
- AlconCertificate of Waiver, Other05D2276408
- Alliance Healthcare Services IncCertificate of Waiver, Mobile lab14D1024253
- Alp Medical Services, PCCertificate of Waiver, Physician office05D2334947
Related
Questions
What is the CLIA number for Walgreens 09883 in Irvine?
05D2302494, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens 09883 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2302494 expire?
The CMS file lists April 9, 2028 as the certificate expiration date; the certificate took effect April 10, 2026.