CLIA lab
CLIA 05D0977250: Ralphs Pharmacy #111 Mobile Clia
Gardena, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0977250 belongs to Ralphs Pharmacy #111 Mobile Clia in Gardena, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
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
- 05D0977250
- Lab name
- Ralphs Pharmacy #111 Mobile Clia
- Address
- 2201 W Redondo Beach Blvd, Gardena, CA 90247
- Phone
- (310) 538-9116
- Fax
- (310) 538-9499
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.
Other labs in Gardena, CA
- Abraham Golbari MDCertificate of Waiver, Physician office05D1007582
- Adel S Metry MDCertificate of Waiver, Physician office05D1009593
- Anjanette Hogan MD IncCertificate for Provider-Performed Microscopy Procedures, Physician office05D1061260
- Annette A Coronel-Perey, MD IncCertificate of Waiver, Physician office05D0976874
- Clear Recovery CenterCertificate of Waiver, Other05D2307823
- Clear Recovery Center - 1925 W 146th STCertificate of Waiver, Other05D2322374
- Clear Recovery Center, LLCCertificate of Waiver, Other05D2307475
- Clear View Convalescent CenterCertificate of Waiver, Skilled nursing or nursing facility05D2054386
- Clear View Sanitarium, IncCertificate of Waiver, Skilled nursing or nursing facility05D0866691
- Coastal Asian Pacific Islander Family MentalCertificate of Waiver, Community clinic05D2202361
Related
Questions
What is the CLIA number for Ralphs Pharmacy #111 Mobile Clia in Gardena?
05D0977250, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ralphs Pharmacy #111 Mobile Clia hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0977250 expire?
The CMS file lists August 21, 2028 as the certificate expiration date; the certificate took effect August 22, 2026.