CLIA lab
CLIA 05D2058069: Safeway Pharmacy #0933
Sebastopol, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2058069 belongs to Safeway Pharmacy #0933 in Sebastopol, 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
- 05D2058069
- Lab name
- Safeway Pharmacy #0933
- Address
- 406 N Main St, Sebastopol, CA 95472
- Phone
- (707) 823-1037
- Fax
- (707) 823-6184
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Sebastopol, CA
- Apple Valley Post - Acute RehabCertificate of Waiver, Skilled nursing or nursing facility05D0612311
- Bohemian Concierge Care IncCertificate of Waiver, Physician office05D2244713
- DRS Pitzen & AndersenCertificate for Provider-Performed Microscopy Procedures, Physician office05D0692031
- Eye Associates of SebastopolCertificate of Compliance, Physician office05D1077728
- Providence Medical FoundationCertificate of Waiver, Physician office05D2084325
- Sebastopol Ambulatory Surgery CTR LPCertificate of Waiver, Ambulatory surgery center05D0895558
- Sonoma Specialty HospitalCertificate of Compliance, Hospital05D0612335
Related
Questions
What is the CLIA number for Safeway Pharmacy #0933 in Sebastopol?
05D2058069, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Safeway Pharmacy #0933 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2058069 expire?
The CMS file lists April 28, 2027 as the certificate expiration date; the certificate took effect April 29, 2025.