CLIA lab

CLIA 05D0999604: Ralphs Pharmacy # 604 Mobile Clia

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

CLIA number 05D0999604 belongs to Ralphs Pharmacy # 604 Mobile Clia in Seal Beach, CA.

Certificate of Waiver, effective May 16, 2026, expires May 15, 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 16, 2026
Certificate expiration
May 15, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 16, 2002
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
05D0999604
Lab name
Ralphs Pharmacy # 604 Mobile Clia
Address
12470 Seal Beach Blvd, Seal Beach, CA 90740
Phone
(562) 598-2734
Fax
(562) 799-1390

Annual test volume the lab reported

Waived tests
250

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 Pharmacy # 604 Mobile Clia in Seal Beach?

05D0999604, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ralphs Pharmacy # 604 Mobile Clia hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0999604 expire?

The CMS file lists May 15, 2028 as the certificate expiration date; the certificate took effect May 16, 2026.

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