CLIA lab
CLIA 05D1052315: Ralphs Pharmacy # 213 Mobile Clia
West Hills, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1052315 belongs to Ralphs Pharmacy # 213 Mobile Clia in West Hills, CA.
Certificate of Waiver, effective March 22, 2026, expires March 21, 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
- March 22, 2026
- Certificate expiration
- March 21, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 22, 2006
- 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
- 05D1052315
- Lab name
- Ralphs Pharmacy # 213 Mobile Clia
- Address
- 22915 Victory Blvd, West Hills, CA 91307
- Phone
- (818) 716-1275
- Fax
- (818) 716-1229
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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- Agoura-West Valley PediatricCertificate of Waiver, Physician office05D0557570
- Ann Shahwan MDCertificate of Waiver, Physician office05D2090904
- Blair S Kranson MDCertificate of Compliance, Physician office05D0857715
- Eugene Dula MD IncCertificate for Provider-Performed Microscopy Procedures, Physician office05D2326302
- Exer Medical CorporationCertificate of Compliance, Other05D2178989
- Expert DermatologyCertificate of Compliance, Physician office05D2161972
Related
Questions
What is the CLIA number for Ralphs Pharmacy # 213 Mobile Clia in West Hills?
05D1052315, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ralphs Pharmacy # 213 Mobile Clia hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1052315 expire?
The CMS file lists March 21, 2028 as the certificate expiration date; the certificate took effect March 22, 2026.