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CLIA 05D2080549: Safeway Pharmacy # 1617

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

CLIA number 05D2080549 belongs to Safeway Pharmacy # 1617 in Roseville, CA.

Certificate of Waiver, effective July 9, 2026, expires July 8, 2028.

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 9, 2026
Certificate expiration
July 8, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 9, 2014
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

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Lab and contact

CLIA number
05D2080549
Lab name
Safeway Pharmacy # 1617
Address
8640 Sierra College Blvd, Roseville, CA 95661
Phone
(916) 783-2304
Fax
(916) 783-2341

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 Roseville, CA

Related

Questions

What is the CLIA number for Safeway Pharmacy # 1617 in Roseville?

05D2080549, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Safeway Pharmacy # 1617 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2080549 expire?

The CMS file lists July 8, 2028 as the certificate expiration date; the certificate took effect July 9, 2026.

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