CLIA lab
CLIA 05D0977298: Ralphs Pharmacy #756 Mobile Clia
Placentia, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0977298 belongs to Ralphs Pharmacy #756 Mobile Clia in Placentia, CA.
Certificate of Waiver, effective August 23, 2026, expires August 22, 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 23, 2026
- Certificate expiration
- August 22, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 23, 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
- 05D0977298
- Lab name
- Ralphs Pharmacy #756 Mobile Clia
- Address
- 710 N Rose Dr, Placentia, CA 92870
- Phone
- (714) 524-6200
- Fax
- (714) 524-6297
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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- Ashika Sharma, MDCertificate of Waiver, Physician office05D2301142
- Brea Family CareCertificate of Waiver, Physician office05D0575894
- Carbon Health Medical Group of California, P.C.Certificate of Waiver, Physician office05D2281121
- Chest and Critical Care Consultants,Certificate of Waiver, Physician office05D2016257
- Concentra-PlacentiaCertificate of Waiver, Physician office05D1091688
- Healthyu ClinicsCertificate of Waiver, Physician office05D2126230
- Independent Options, Inc / Diamond HouseCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities05D2098701
- Ivy Park at BradfordCertificate of Waiver, Assisted living facility05D2289124
- Le Family PracticeCertificate of Waiver, Physician office05D2297985
Related
Questions
What is the CLIA number for Ralphs Pharmacy #756 Mobile Clia in Placentia?
05D0977298, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ralphs Pharmacy #756 Mobile Clia hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0977298 expire?
The CMS file lists August 22, 2028 as the certificate expiration date; the certificate took effect August 23, 2026.