CLIA lab

CLIA 05D2091921: Safeway Pharmacy #1895

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

CLIA number 05D2091921 belongs to Safeway Pharmacy #1895 in Fair Oaks, CA.

Certificate of Waiver, effective February 23, 2025, expires February 22, 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
February 23, 2025
Certificate expiration
February 22, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 23, 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
05D2091921
Lab name
Safeway Pharmacy #1895
Address
5450 Dewey Dr, Fair Oaks, CA 95628
Phone
(916) 904-5360
Fax
(916) 904-5366

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.

Other labs in Fair Oaks, CA

Related

Questions

What is the CLIA number for Safeway Pharmacy #1895 in Fair Oaks?

05D2091921, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Safeway Pharmacy #1895 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2091921 expire?

The CMS file lists February 22, 2027 as the certificate expiration date; the certificate took effect February 23, 2025.

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