CLIA lab
CLIA 05D2003001: Ralphs Pharmacy #113 Mobile Clia
Fontana, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2003001 belongs to Ralphs Pharmacy #113 Mobile Clia in Fontana, CA.
Certificate of Waiver, effective January 29, 2026, expires January 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
- January 29, 2026
- Certificate expiration
- January 28, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 29, 2010
- 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
- 05D2003001
- Lab name
- Ralphs Pharmacy #113 Mobile Clia
- Address
- 16225 Sierra Lakes Pkwy, Fontana, CA 92336
- Phone
- (909) 357-2525
- Fax
- (909) 357-3047
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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- Arrowhead Family Health Center - FontanaCertificate for Provider-Performed Microscopy Procedures, Physician office05D2160075
- Auto Club Speedway (Medical First Aid Station)Certificate of Waiver, Other05D2091643
- Beaver Medical Group PC, FontanaCertificate of Waiver, Physician office05D2087594
- Benny J Guzman MDCertificate of Waiver, Physician office05D1036649
- Citrus Nursing CenterCertificate of Waiver, Skilled nursing or nursing facility05D0875230
- Cobblestone HouseCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities05D2085173
- Comprehensive Primary Care Medical Assoc IncCertificate of Waiver, Physician office05D1089961
Related
Questions
What is the CLIA number for Ralphs Pharmacy #113 Mobile Clia in Fontana?
05D2003001, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ralphs Pharmacy #113 Mobile Clia hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2003001 expire?
The CMS file lists January 28, 2028 as the certificate expiration date; the certificate took effect January 29, 2026.