CLIA lab
CLIA 05D2091960: Safeway Pharmacy #1724
Placerville, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2091960 belongs to Safeway Pharmacy #1724 in Placerville, 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
- 05D2091960
- Lab name
- Safeway Pharmacy #1724
- Address
- 3955 Missouri Flat Rd, Placerville, CA 95667
- Phone
- (530) 295-2977
- Fax
- (530) 295-2981
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 Placerville, CA
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D2162086
- Berman Skin Institute Medical Group, IncCertificate of Registration, Physician office05D2178196
- Doctors Office Lab,theCertificate of Waiver, Physician office05D0899464
- El Dorado Community Health CenterCertificate of Waiver, Federally qualified health center05D1012075
- El Dorado County - PlacervilleCertificate of Waiver, Other05D2268254
- El Dorado County EMS AgencyCertificate of Waiver, Ambulance05D0867396
- El Dorado County Public Health DeptCertificate of Waiver, Community clinic05D0666562
- El Dorado County,Certificate of Waiver, Other05D2142194
- El Dorado County, Placerville Main JailCertificate of Waiver, Other05D2142193
- El Dorado Pathology Medical GroupCertificate of Accreditation, Independent05D0644136
Related
Questions
What is the CLIA number for Safeway Pharmacy #1724 in Placerville?
05D2091960, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Safeway Pharmacy #1724 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2091960 expire?
The CMS file lists February 22, 2027 as the certificate expiration date; the certificate took effect February 23, 2025.