CLIA lab
CLIA 05D2060258: Safeway Pharmacy # 3124
Manteca, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2060258 belongs to Safeway Pharmacy # 3124 in Manteca, CA.
Certificate of Waiver, effective June 10, 2025, expires June 9, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- June 10, 2025
- Certificate expiration
- June 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 10, 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
- 05D2060258
- Lab name
- Safeway Pharmacy # 3124
- Address
- 1187 S Main St., Manteca, CA 95337
- Phone
- (209) 239-1809
- Fax
- (209) 825-5903
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 Manteca, CA
- Abdul W. Khan, M.D.Certificate of Waiver, Physician office05D2074038
- Aegis Treatment Centers LLCCertificate of Waiver, Other05D2202059
- Allcare Hospitalist Medical Group-MantecaCertificate of Waiver, Physician office05D2313595
- Arcpoint Labs of MantecaCertificate of Waiver, Independent05D2308672
- Artius Dermatology Associates PCCertificate of Compliance, Physician office05D2190619
- Associate Home Health Care IncCertificate of Waiver, Home health agency05D2135891
- California Urgent Care CenterCertificate of Waiver, Physician office05D2193082
- Cornejo Chiropractic CentersCertificate of Waiver, Physician office05D2261783
- Cvs/Pharmacy #05403Certificate of Waiver, Pharmacy05D2268811
- David's Manteca Family Chiropractic CorporationCertificate of Waiver, Other practitioner05D2087604
Related
Questions
What is the CLIA number for Safeway Pharmacy # 3124 in Manteca?
05D2060258, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Safeway Pharmacy # 3124 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2060258 expire?
The CMS file lists June 9, 2027 as the certificate expiration date; the certificate took effect June 10, 2025.