CLIA lab
CLIA 05D2315905: Walgreens 03936
Lake Forest, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2315905 belongs to Walgreens 03936 in Lake Forest, CA.
Certificate of Waiver, effective December 20, 2024, expires December 19, 2026.
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
- December 20, 2024
- Certificate expiration
- December 19, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 20, 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
- 05D2315905
- Lab name
- Walgreens 03936
- Address
- 24382 Muirlands Blvd, Lake Forest, CA 92630
- Phone
- (949) 598-9088
- Fax
- (949) 598-9136
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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- Adel A Boutros, MDCertificate of Waiver, Physician office05D0897771
- Alcon LaboratoriesCertificate of Waiver, Other05D2279166
- Coastline EndocrinologyCertificate of Waiver, Physician office05D2338903
- Concentra Lake ForestCertificate of Waiver, Physician office05D0958933
- Foothill Gateway Surgery Center LLCCertificate of Waiver, Ambulatory surgery center05D1024936
- Foothill Surgical InstituteCertificate of Waiver, Ambulatory surgery center05D1030512
- Freedom Village Health Care CenterCertificate of Waiver, Skilled nursing or nursing facility05D0880891
Related
Questions
What is the CLIA number for Walgreens 03936 in Lake Forest?
05D2315905, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens 03936 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2315905 expire?
The CMS file lists December 19, 2026 as the certificate expiration date; the certificate took effect December 20, 2024.