CLIA lab
CLIA 05D2062672: Safeway Pharmacy #1825
Pollock Pines, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2062672 belongs to Safeway Pharmacy #1825 in Pollock Pines, CA.
Certificate of Waiver, effective July 19, 2025, expires July 18, 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
- July 19, 2025
- Certificate expiration
- July 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 19, 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
- 05D2062672
- Lab name
- Safeway Pharmacy #1825
- Address
- 6498 Pony Express Trail, Pollock Pines, CA 95726
- Phone
- (530) 647-7449
- Fax
- (530) 647-7454
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Safeway Pharmacy #1825 in Pollock Pines?
05D2062672, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Safeway Pharmacy #1825 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2062672 expire?
The CMS file lists July 18, 2027 as the certificate expiration date; the certificate took effect July 19, 2025.