CLIA lab

CLIA 05D2004469: Ralphs Pharmacy # 99 Mobile Clia

Foothill Ranch, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D2004469 belongs to Ralphs Pharmacy # 99 Mobile Clia in Foothill Ranch, 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 Rivvi

Free 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
05D2004469
Lab name
Ralphs Pharmacy # 99 Mobile Clia
Address
26751 Portola Parkway, Foothill Ranch, CA 92610
Phone
(949) 457-0690
Fax
(949) 457-1135

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 Foothill Ranch, CA

Related

Questions

What is the CLIA number for Ralphs Pharmacy # 99 Mobile Clia in Foothill Ranch?

05D2004469, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ralphs Pharmacy # 99 Mobile Clia hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2004469 expire?

The CMS file lists March 3, 2028 as the certificate expiration date; the certificate took effect March 4, 2026.

Try it on your own data today.

Free to start. Most teams are using it the same day.