CLIA lab

CLIA 05D2058057: Safeway Pharmacy #1757

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

CLIA number 05D2058057 belongs to Safeway Pharmacy #1757 in Hollister, CA.

Certificate of Waiver, effective July 17, 2026, expires July 16, 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
July 17, 2026
Certificate expiration
July 16, 2028
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
05D2058057
Lab name
Safeway Pharmacy #1757
Address
591 Tres Pinos Rd., Hollister, CA 95023
Phone
(831) 638-3247
Fax
(831) 638-3251

Annual test volume the lab reported

Waived tests
2,000

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 Safeway Pharmacy #1757 in Hollister?

05D2058057, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Safeway Pharmacy #1757 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2058057 expire?

The CMS file lists July 16, 2028 as the certificate expiration date; the certificate took effect July 17, 2026.

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