CLIA lab
CLIA 05D2003008: Ralphs Pharmacy #702 Mobile Clia
Van Nuys, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2003008 belongs to Ralphs Pharmacy #702 Mobile Clia in Van Nuys, 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
- 05D2003008
- Lab name
- Ralphs Pharmacy #702 Mobile Clia
- Address
- 14440 Burbank Blvd, Van Nuys, CA 91401
- Phone
- (818) 989-5422
- Fax
- (818) 989-6244
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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- A-Biz Health Systems IncCertificate of Waiver, Home health agency05D2095744
- Advanced Quality Home Care IncCertificate of Waiver, Home health agency05D2303017
- Ae Urgent Care - Van NuysCertificate of Waiver, Physician office05D2289272
- Age Home Health CareCertificate of Waiver, Home health agency05D2343365
- All Inclusive Home CareCertificate of Waiver, Home health agency05D2292890
- All Linked Home Health, IncCertificate of Waiver, Home health agency05D2112938
- All in One Hospice Care IncCertificate of Waiver, Hospice05D2023717
Related
Questions
What is the CLIA number for Ralphs Pharmacy #702 Mobile Clia in Van Nuys?
05D2003008, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ralphs Pharmacy #702 Mobile Clia hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2003008 expire?
The CMS file lists January 28, 2028 as the certificate expiration date; the certificate took effect January 29, 2026.