CLIA lab
CLIA 05D2090864: Safeway Pharmacy #1215
Pittsburg, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2090864 belongs to Safeway Pharmacy #1215 in Pittsburg, CA.
Certificate of Waiver, effective January 28, 2025, expires January 27, 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
- January 28, 2025
- Certificate expiration
- January 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 2, 2015
- 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
- 05D2090864
- Lab name
- Safeway Pharmacy #1215
- Address
- 660 Bailey Rd, Pittsburg, CA 94565
- Phone
- (925) 458-0930
- Fax
- (925) 458-1703
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Gretchen D Graves MDCertificate of Waiver, Physician office05D0600187
- Juan Sequeira MDCertificate of Waiver, Physician office05D0721184
- La Clinica Pittsburg-MedicalCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center05D0954154
- Options HealthCertificate of Waiver, Community clinic05D1015306
- Pacita R. Aducayen, IncorporatedCertificate of Waiver, Physician office05D1059200
- Pittsburg Care CenterCertificate of Waiver, Skilled nursing or nursing facility05D0901695
Related
Questions
What is the CLIA number for Safeway Pharmacy #1215 in Pittsburg?
05D2090864, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Safeway Pharmacy #1215 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2090864 expire?
The CMS file lists January 27, 2027 as the certificate expiration date; the certificate took effect January 28, 2025.