CLIA lab
CLIA 05D2003007: Ralphs Pharmacy #279 Mobile Clia
Marina Del Rey, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2003007 belongs to Ralphs Pharmacy #279 Mobile Clia in Marina Del Rey, 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
- 05D2003007
- Lab name
- Ralphs Pharmacy #279 Mobile Clia
- Address
- 4700 Admiralty Way, Marina Del Rey, CA 90292
- Phone
- (310) 827-4843
- Fax
- (310) 827-4874
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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Related
Questions
What is the CLIA number for Ralphs Pharmacy #279 Mobile Clia in Marina Del Rey?
05D2003007, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ralphs Pharmacy #279 Mobile Clia hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2003007 expire?
The CMS file lists January 28, 2028 as the certificate expiration date; the certificate took effect January 29, 2026.