CLIA lab
CLIA 05D0977199: Ralphs Pharmacy #72
Fullerton, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0977199 belongs to Ralphs Pharmacy #72 in Fullerton, CA.
Certificate of Waiver, effective August 22, 2026, expires August 21, 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
- August 22, 2026
- Certificate expiration
- August 21, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 22, 2000
- 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
- 05D0977199
- Lab name
- Ralphs Pharmacy #72
- Address
- 1121 N Harbor Blvd, Fullerton, CA 92832
- Phone
- (714) 992-6313
- Fax
- (714) 992-6392
Annual test volume the lab reported
- Waived tests
- 600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Ralphs Pharmacy #72 in Fullerton?
05D0977199, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ralphs Pharmacy #72 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0977199 expire?
The CMS file lists August 21, 2028 as the certificate expiration date; the certificate took effect August 22, 2026.