CLIA lab
CLIA 05D2059779: Safeway Pharmacy #1647
Elk Grove, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2059779 belongs to Safeway Pharmacy #1647 in Elk Grove, CA.
Certificate of Waiver, effective May 30, 2025, expires May 29, 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 30, 2025
- Certificate expiration
- May 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 30, 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
- 05D2059779
- Lab name
- Safeway Pharmacy #1647
- Address
- 5021 Laguna Blvd, Elk Grove, CA 95758
- Phone
- (916) 691-3777
- Fax
- (916) 691-3782
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.
Other labs in Elk Grove, CA
- All Inclusive Medical Services Urgent Care, IncCertificate of Waiver, Other05D2321414
- Alpine Management Enterprises IncCertificate of Waiver, Home health agency05D2165852
- Blossom Ridge Long Term Care FacilityCertificate of Waiver, Other05D2110359
- Capitol Hospice CareCertificate of Waiver, Hospice05D2182100
- Caremeridian-Elk GroveCertificate of Waiver, Other05D1089789
- Clinical Health Appraisals, IncCertificate of Waiver, Health fair05D0910365
- Crossover Health Medical Group, ApcCertificate of Waiver, Physician office05D2033270
- Customcare Home Health Services IncCertificate of Waiver, Home health agency05D2044489
- Cvs/Pharmacy #00182Certificate of Waiver, Pharmacy05D2268812
- Diamond House DetoxCertificate of Waiver, Other05D2136149
Related
Questions
What is the CLIA number for Safeway Pharmacy #1647 in Elk Grove?
05D2059779, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Safeway Pharmacy #1647 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2059779 expire?
The CMS file lists May 29, 2027 as the certificate expiration date; the certificate took effect May 30, 2025.