05D0987387 CLIA NUMBER - RALPHS PHARMACY #88 MOBILE CLIA

Laboratory Demographics

  • CLIA Code: 05D0987387
  • Facility Name: RALPHS PHARMACY #88 MOBILE CLIA
  • Facility Address: 5035 PACIFIC COAST HWY
    TORRANCE, CA
    ZIP 90505
  • Facility Phone: 310 378-5214
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KENNETH W. PATRIC
  • NPI Number: 1720003320
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D0987387
LAB Type Pharmacy
Facility Name RALPHS PHARMACY #88 MOBILE CLIA
Street 5035 PACIFIC COAST HWY
City TORRANCE
State CA
ZIP 90505
Phone 310 378-5214
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Pharmacy
Lab Director KENNETH W. PATRIC

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This page was last updated on: 9/29/2025