CLIA lab
CLIA 05D2348157: KBC Pharmacy Inc DBA 986 Pharmacy #8024
Crestline, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2348157 belongs to KBC Pharmacy Inc DBA 986 Pharmacy #8024 in Crestline, CA.
Certificate of Waiver, effective July 31, 2026, expires July 30, 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
- July 31, 2026
- Certificate expiration
- July 30, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 31, 2026
- 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
- 05D2348157
- Lab name
- KBC Pharmacy Inc DBA 986 Pharmacy #8024
- Address
- 24057 Lake Drive Ste 1, Crestline, CA 92325
- Phone
- (909) 338-1875
- Fax
- (909) 338-1876
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Crestline, CA
Related
Questions
What is the CLIA number for KBC Pharmacy Inc DBA 986 Pharmacy #8024 in Crestline?
05D2348157, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does KBC Pharmacy Inc DBA 986 Pharmacy #8024 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2348157 expire?
The CMS file lists July 30, 2028 as the certificate expiration date; the certificate took effect July 31, 2026.