CLIA lab

CLIA 05D2268618: Safeway Pharmacy #0965

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

CLIA number 05D2268618 belongs to Safeway Pharmacy #0965 in Willits, CA.

Certificate of Waiver, effective September 14, 2026, expires September 13, 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 14, 2026
Certificate expiration
September 13, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 14, 2022
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
05D2268618
Lab name
Safeway Pharmacy #0965
Address
845 S Main St, Willits, CA 95490
Phone
(707) 456-1790
Fax
(707) 456-1794

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 #0965 in Willits?

05D2268618, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Safeway Pharmacy #0965 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2268618 expire?

The CMS file lists September 13, 2028 as the certificate expiration date; the certificate took effect September 14, 2026.

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