CLIA lab
CLIA 05D0977222: Ralphs Pharmacy #721 Mobile Clia
Canoga Park, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0977222 belongs to Ralphs Pharmacy #721 Mobile Clia in Canoga Park, 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
- 05D0977222
- Lab name
- Ralphs Pharmacy #721 Mobile Clia
- Address
- 22333 Sherman Way, Canoga Park, CA 91303
- Phone
- (818) 713-8014
- Fax
- (818) 713-9925
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 #721 Mobile Clia in Canoga Park?
05D0977222, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ralphs Pharmacy #721 Mobile Clia hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0977222 expire?
The CMS file lists August 21, 2028 as the certificate expiration date; the certificate took effect August 22, 2026.