CLIA lab
CLIA 05D1052322: Ralphs Pharmacy # 645 Mobile Clia
El Segundo, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1052322 belongs to Ralphs Pharmacy # 645 Mobile Clia in El Segundo, 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
- 05D1052322
- Lab name
- Ralphs Pharmacy # 645 Mobile Clia
- Address
- 500 N Sepulveda Blvd, El Segundo, CA 90245
- Phone
- (310) 615-3025
- Fax
- (310) 615-3149
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.
Other labs in El Segundo, CA
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- Cedars-Sinai Medical Care FoundationCertificate of Waiver, Physician office05D0979068
- Chan Soon-Shiong Institute for MedicineCertificate of Accreditation, Physician office05D2144811
- Chevron Refinery Clinic -El SegundoCertificate of Waiver, Industrial05D0689540
- Concentra - El Segundo LaxCertificate of Waiver, Physician office05D0903814
- El Segundo Dermatology IncCertificate of Compliance, Physician office05D2113648
- El Segundo Endoscopy Center LLCCertificate of Waiver, Ambulatory surgery center05D2264119
- Goodlife Physical MedicineCertificate of Waiver, Physician office05D2188514
- Love Life MedicalCertificate of Waiver, Physician office05D2307224
- Michael F Mellman MDCertificate of Waiver, Physician office05D0975505
Related
Questions
What is the CLIA number for Ralphs Pharmacy # 645 Mobile Clia in El Segundo?
05D1052322, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ralphs Pharmacy # 645 Mobile Clia hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1052322 expire?
The CMS file lists March 21, 2028 as the certificate expiration date; the certificate took effect March 22, 2026.