CLIA lab

CLIA 05D0987392: Ralphs Pharmacy #207 Mobile Clia

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

CLIA number 05D0987392 belongs to Ralphs Pharmacy #207 Mobile Clia in Pacific Beach, CA.

Certificate of Waiver, effective June 4, 2025, expires June 3, 2027.

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
June 4, 2025
Certificate expiration
June 3, 2027
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
05D0987392
Lab name
Ralphs Pharmacy #207 Mobile Clia
Address
4315 Mission Blvd, Pacific Beach, CA 92109
Phone
(858) 273-2108
Fax
(858) 273-5542

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.

Related

Questions

What is the CLIA number for Ralphs Pharmacy #207 Mobile Clia in Pacific Beach?

05D0987392, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ralphs Pharmacy #207 Mobile Clia hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0987392 expire?

The CMS file lists June 3, 2027 as the certificate expiration date; the certificate took effect June 4, 2025.

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