CLIA lab
CLIA 05D2064267: Safeway Pharmacy # 1583
Ukiah, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2064267 belongs to Safeway Pharmacy # 1583 in Ukiah, CA.
Certificate of Waiver, effective August 16, 2025, expires August 15, 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
- August 16, 2025
- Certificate expiration
- August 15, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 16, 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
- 05D2064267
- Lab name
- Safeway Pharmacy # 1583
- Address
- 653 S State St, Ukiah, CA 95482
- Phone
- (707) 467-2712
- Fax
- (707) 467-2776
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.
Other labs in Ukiah, CA
- Adventist Health Outpatient PavilionCertificate of Waiver, Ambulatory surgery center05D1092277
- Adventist Health Ukiah ValleyCertificate of Accreditation, Hospital05D0063759
- Adventist Health Ukiah ValleyCertificate for Provider-Performed Microscopy Procedures, Rural health clinic05D0612511
- Adventist Health Ukiah ValleyCertificate of Accreditation, Hospital05D0612598
- Adventist Health Ukiah ValleyCertificate for Provider-Performed Microscopy Procedures, Rural health clinic05D1100561
- Adventist Health Ukiah ValleyCertificate of Waiver, Other05D2295148
- Ahpn-Primary CareCertificate of Waiver, Physician office05D2346624
- Dialysis Clinic, Inc. - UkiahCertificate of Waiver, End stage renal disease dialysis facility05D2027538
- Mcavhn Care and Prevention NetworkCertificate of Waiver, Independent05D2094903
- Medical Offices of Robert Rushton, IncCertificate for Provider-Performed Microscopy Procedures, Rural health clinic05D0712957
Related
Questions
What is the CLIA number for Safeway Pharmacy # 1583 in Ukiah?
05D2064267, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Safeway Pharmacy # 1583 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2064267 expire?
The CMS file lists August 15, 2027 as the certificate expiration date; the certificate took effect August 16, 2025.