CLIA lab

CLIA 05D2064268: Safeway Pharmacy #978

Fort Bragg, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D2064268 belongs to Safeway Pharmacy #978 in Fort Bragg, 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
05D2064268
Lab name
Safeway Pharmacy #978
Address
660 S Main St, Fort Bragg, CA 95437
Phone
(707) 964-4058
Fax
(707) 964-1729

Annual test volume the lab reported

Waived tests
200

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Fort Bragg, CA

Related

Questions

What is the CLIA number for Safeway Pharmacy #978 in Fort Bragg?

05D2064268, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Safeway Pharmacy #978 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2064268 expire?

The CMS file lists August 15, 2027 as the certificate expiration date; the certificate took effect August 16, 2025.

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