CLIA lab
CLIA 05D2289178: Safeway Pharmacy # 2874
Hercules, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2289178 belongs to Safeway Pharmacy # 2874 in Hercules, CA.
Certificate of Waiver, effective September 6, 2025, expires September 5, 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
- September 6, 2025
- Certificate expiration
- September 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 6, 2023
- 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
- 05D2289178
- Lab name
- Safeway Pharmacy # 2874
- Address
- 4080 San Pablo Ave, Hercules, CA 94547
- Phone
- (510) 322-9040
- Fax
- (510) 322-9038
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.
Other labs in Hercules, CA
- California Dermatology CareCertificate of Compliance, Physician office05D2097959
- Dermatology Associates of the Bay AreaCertificate of Compliance, Physician office05D0603798
- Herculean Babies PediatricsCertificate of Waiver, Physician office05D1045453
- Sycamore Medical Group IncCertificate for Provider-Performed Microscopy Procedures, Physician office05D0947246
Related
Questions
What is the CLIA number for Safeway Pharmacy # 2874 in Hercules?
05D2289178, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Safeway Pharmacy # 2874 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2289178 expire?
The CMS file lists September 5, 2027 as the certificate expiration date; the certificate took effect September 6, 2025.