CLIA lab
CLIA 05D2058056: Safeway Pharmacy #1127
Fairfield, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2058056 belongs to Safeway Pharmacy #1127 in Fairfield, CA.
Certificate of Waiver, effective April 29, 2025, expires April 28, 2027.
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
- April 29, 2025
- Certificate expiration
- April 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 29, 2013
- 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
- 05D2058056
- Lab name
- Safeway Pharmacy #1127
- Address
- 2401 Waterman Blvd, Fairfield, CA 94533
- Phone
- (707) 427-5642
- Fax
- (707) 427-5645
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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- Advent Healthcare Services, LLCCertificate of Waiver, Hospice05D2163666
- Bradley J. Sandler, MDCertificate of Waiver, Physician office05D2132231
- Bridge Home Health Solano LLC DBA Bridge HomeCertificate of Waiver, Home health agency05D2216817
- Bridge Hospice Solano LLC DBA Bridge HospiceCertificate of Waiver, Hospice05D2217029
- CSL Plasma, IncCertificate of Registration, Other05D2308951
- Center for Specialty Care, A Northbay AffiliateCertificate of Waiver, Physician office05D2022765
- Cfmg, Solano County Juvenile HallCertificate of Waiver, Other05D2142681
- Crepuscule Properties, IncCertificate of Waiver, Assisted living facility05D2323327
- Crestwood Crisis Stabilization ServicesCertificate of Waiver, Other05D2293351
Related
Questions
What is the CLIA number for Safeway Pharmacy #1127 in Fairfield?
05D2058056, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Safeway Pharmacy #1127 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2058056 expire?
The CMS file lists April 28, 2027 as the certificate expiration date; the certificate took effect April 29, 2025.