CLIA lab
CLIA 05D0977251: Ralphs Pharmacy #280 Mobile Clia
Marina Del Rey, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0977251 belongs to Ralphs Pharmacy #280 Mobile Clia in Marina Del Rey, 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
- 05D0977251
- Lab name
- Ralphs Pharmacy #280 Mobile Clia
- Address
- 4311 Lincoln Blvd, Marina Del Rey, CA 90292
- Phone
- (310) 821-4993
- Fax
- (310) 306-6499
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 Marina Del Rey, CA
- Admiralty Surgery CenterCertificate of Waiver, Ambulatory surgery center05D2069169
- Advance Dermatology & LaserCertificate of Compliance, Physician office05D0939439
- Care Like Family, IncCertificate of Waiver, Home health agency05D1009830
- Caring Like Family HospiceCertificate of Waiver, Hospice05D2104998
- Cedars-Sinai Marina HospitalCertificate of Accreditation, Hospital05D0549077
- Cedars-Sinai Marina HospitalCertificate of Accreditation, Hospital05D0914697
- Cedars-Sinai Medical Care FoundationCertificate of Waiver, Physician office05D0549065
- Cedars-Sinai Medical Care FoundationCertificate for Provider-Performed Microscopy Procedures, Physician office05D2125219
- Cedars-Sinai Medical Care FoundationCertificate of Waiver, Physician office05D2316013
- Cedars-Sinai Medical Care FoundationCertificate of Waiver, Physician office05D2334341
Related
Questions
What is the CLIA number for Ralphs Pharmacy #280 Mobile Clia in Marina Del Rey?
05D0977251, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ralphs Pharmacy #280 Mobile Clia hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0977251 expire?
The CMS file lists August 21, 2028 as the certificate expiration date; the certificate took effect August 22, 2026.