CLIA lab

CLIA 05D0977229: Ralphs Pharmacy #120

Redondo Beach, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D0977229 belongs to Ralphs Pharmacy #120 in Redondo Beach, 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
05D0977229
Lab name
Ralphs Pharmacy #120
Address
1413 Hawthorne Blvd, Redondo Beach, CA 90278
Phone
(310) 370-8784
Fax
(310) 370-6026

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 #120 in Redondo Beach?

05D0977229, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ralphs Pharmacy #120 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0977229 expire?

The CMS file lists August 21, 2028 as the certificate expiration date; the certificate took effect August 22, 2026.

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