CLIA lab

CLIA 05D1052320: Ralphs Pharmacy #84

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

CLIA number 05D1052320 belongs to Ralphs Pharmacy #84 in Castaic, CA.

Certificate of Waiver, effective April 23, 2025, expires April 22, 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
April 23, 2025
Certificate expiration
April 22, 2027
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
05D1052320
Lab name
Ralphs Pharmacy #84
Address
29675 The Old Road North, Castaic, CA 91384
Phone
(661) 702-6936
Fax
(661) 702-1542

Annual test volume the lab reported

Waived tests
300

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 #84 in Castaic?

05D1052320, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ralphs Pharmacy #84 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1052320 expire?

The CMS file lists April 22, 2027 as the certificate expiration date; the certificate took effect April 23, 2025.

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