CLIA lab

CLIA 05D2084234: Safeway Pharmacy #2621

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

CLIA number 05D2084234 belongs to Safeway Pharmacy #2621 in Brentwood, CA.

Certificate of Waiver, effective September 19, 2026, expires September 18, 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
September 19, 2026
Certificate expiration
September 18, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 19, 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

Lab and contact

CLIA number
05D2084234
Lab name
Safeway Pharmacy #2621
Address
3110 Balfour Ave, Brentwood, CA 94513
Phone
(925) 626-6030
Fax
(925) 626-6024

Annual test volume the lab reported

Waived tests
1,000

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

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Related

Questions

What is the CLIA number for Safeway Pharmacy #2621 in Brentwood?

05D2084234, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Safeway Pharmacy #2621 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2084234 expire?

The CMS file lists September 18, 2028 as the certificate expiration date; the certificate took effect September 19, 2026.

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