CLIA lab
CLIA 05D2004465: Ralphs Pharmacy # 288 Mobile Clia
Lake Forest, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2004465 belongs to Ralphs Pharmacy # 288 Mobile Clia in Lake Forest, CA.
Certificate of Waiver, effective March 4, 2026, expires March 3, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- March 4, 2026
- Certificate expiration
- March 3, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 4, 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
- 05D2004465
- Lab name
- Ralphs Pharmacy # 288 Mobile Clia
- Address
- 23716 El Toro Rd, Lake Forest, CA 92630
- Phone
- (949) 380-1009
- Fax
- (949) 380-4058
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 Lake Forest, CA
- A Better Life Recovery, LLCCertificate of Waiver, Other05D2136189
- A Better Life Recovery, LLCCertificate of Waiver, Other05D2275646
- A Better Life Recovery, LLCCertificate of Waiver, Other05D2285278
- Adel A Boutros, MDCertificate of Waiver, Physician office05D0897771
- Alcon LaboratoriesCertificate of Waiver, Other05D2279166
- Coastline EndocrinologyCertificate of Waiver, Physician office05D2338903
- Concentra Lake ForestCertificate of Waiver, Physician office05D0958933
- Foothill Gateway Surgery Center LLCCertificate of Waiver, Ambulatory surgery center05D1024936
- Foothill Surgical InstituteCertificate of Waiver, Ambulatory surgery center05D1030512
- Freedom Village Health Care CenterCertificate of Waiver, Skilled nursing or nursing facility05D0880891
Related
Questions
What is the CLIA number for Ralphs Pharmacy # 288 Mobile Clia in Lake Forest?
05D2004465, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ralphs Pharmacy # 288 Mobile Clia hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2004465 expire?
The CMS file lists March 3, 2028 as the certificate expiration date; the certificate took effect March 4, 2026.