CLIA lab

CLIA 05D0987382: Ralphs Parmacy #757 Mobile Clia

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

CLIA number 05D0987382 belongs to Ralphs Parmacy #757 Mobile Clia in Stevenson Ranch, CA.

Certificate of Waiver, effective May 20, 2026, expires May 19, 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
May 20, 2026
Certificate expiration
May 19, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 4, 2001
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
05D0987382
Lab name
Ralphs Parmacy #757 Mobile Clia
Address
24975 Pico Canyon Rd, Stevenson Ranch, CA 91381
Phone
(661) 253-0320
Fax
(661) 253-3083

Annual test volume the lab reported

Waived tests
1,000

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 Parmacy #757 Mobile Clia in Stevenson Ranch?

05D0987382, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ralphs Parmacy #757 Mobile Clia hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0987382 expire?

The CMS file lists May 19, 2028 as the certificate expiration date; the certificate took effect May 20, 2026.

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