CLIA lab
CLIA 05D2004466: Ralphs Pharmacy # 287 Mobile Clia
San Clemente, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2004466 belongs to Ralphs Pharmacy # 287 Mobile Clia in San Clemente, 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
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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
- 05D2004466
- Lab name
- Ralphs Pharmacy # 287 Mobile Clia
- Address
- 811 Avenida Talega, San Clemente, CA 92673
- Phone
- (310) 836-2684
- Fax
- (310) 836-1598
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 # 287 Mobile Clia in San Clemente?
05D2004466, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ralphs Pharmacy # 287 Mobile Clia hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2004466 expire?
The CMS file lists March 3, 2028 as the certificate expiration date; the certificate took effect March 4, 2026.