CLIA lab
CLIA 05D2058278: Safeway Pharmacy #0983
Lakeport, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2058278 belongs to Safeway Pharmacy #0983 in Lakeport, CA.
Certificate of Waiver, effective May 3, 2025, expires May 2, 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
- May 3, 2025
- Certificate expiration
- May 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 3, 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
- 05D2058278
- Lab name
- Safeway Pharmacy #0983
- Address
- 1071 11th St, Lakeport, CA 95453
- Phone
- (707) 263-8779
- Fax
- (707) 263-8783
Annual test volume the lab reported
- Waived tests
- 2,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lakeport, CA
- Adventist Health Clear LakeCertificate of Waiver, Rural health clinic05D0612188
- Adventist Health Clear LakeCertificate of Waiver, Rural health clinic05D2155735
- County of Lake Public HealthCertificate of Waiver, Public health laboratory05D0708725
- Hospice Services of Lake CountyCertificate of Waiver, Hospice05D0930705
- Lake County JailCertificate of Waiver, Other05D2278210
- Lake County Tribal HealthCertificate for Provider-Performed Microscopy Procedures, Other05D0722889
- Lakeport Dialysis CenterCertificate of Waiver, End stage renal disease dialysis facility05D0886315
- Lakeport Post AcuteCertificate of Waiver, Skilled nursing or nursing facility05D0863932
- Neely Family Inc DBA North Lake Medical PharmacyCertificate of Waiver, Pharmacy05D2230288
- Redwood Family Dermatology-LakeportCertificate for Provider-Performed Microscopy Procedures, Physician office05D2331076
Related
Questions
What is the CLIA number for Safeway Pharmacy #0983 in Lakeport?
05D2058278, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Safeway Pharmacy #0983 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2058278 expire?
The CMS file lists May 2, 2027 as the certificate expiration date; the certificate took effect May 3, 2025.