CLIA lab
CLIA 05D1027397: Ralphs Pharmacy #729
Newbury Park, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1027397 belongs to Ralphs Pharmacy #729 in Newbury Park, CA.
Certificate of Waiver, effective June 29, 2026, expires June 28, 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
- June 29, 2026
- Certificate expiration
- June 28, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 29, 2004
- 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
- 05D1027397
- Lab name
- Ralphs Pharmacy #729
- Address
- 583 N Ventu Park Rd, Newbury Park, CA 91320
- Phone
- (805) 376-1380
- Fax
- (805) 376-1862
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Sav-On Pharmacy #0391Certificate of Waiver, Pharmacy05D1062640
- Steven R Koe MDCertificate for Provider-Performed Microscopy Procedures, Physician office05D0983478
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Related
Questions
What is the CLIA number for Ralphs Pharmacy #729 in Newbury Park?
05D1027397, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ralphs Pharmacy #729 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1027397 expire?
The CMS file lists June 28, 2028 as the certificate expiration date; the certificate took effect June 29, 2026.