CLIA lab
CLIA 05D0987439: Ralphs Pharmacy #704 Mobile Clia
Granada Hills, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0987439 belongs to Ralphs Pharmacy #704 Mobile Clia in Granada Hills, CA.
Certificate of Waiver, effective June 5, 2025, expires June 4, 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 5, 2025
- Certificate expiration
- June 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 5, 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
- 05D0987439
- Lab name
- Ralphs Pharmacy #704 Mobile Clia
- Address
- 16940 Devonshire St, Granada Hills, CA 91344
- Phone
- (818) 831-4962
- Fax
- (818) 832-8515
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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- Amazing Health Care ServicesCertificate of Waiver, Home health agency05D2337449
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- Believe Detox CenterCertificate of Waiver, Ancillary test site05D2263056
- Better Days Adult Day Health Care CenterCertificate of Waiver, Other05D2335088
- Bright Future Home Care Services, IncCertificate of Waiver, Home health agency05D2293453
Related
Questions
What is the CLIA number for Ralphs Pharmacy #704 Mobile Clia in Granada Hills?
05D0987439, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ralphs Pharmacy #704 Mobile Clia hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0987439 expire?
The CMS file lists June 4, 2027 as the certificate expiration date; the certificate took effect June 5, 2025.