CLIA lab

CLIA 05D2316014: Safeway Pharmacy #0094

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

CLIA number 05D2316014 belongs to Safeway Pharmacy #0094 in Elk Grove, CA.

Certificate of Waiver, effective December 24, 2024, expires December 23, 2026.

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
December 24, 2024
Certificate expiration
December 23, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 24, 2024
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
05D2316014
Lab name
Safeway Pharmacy #0094
Address
10050 Bruceville Rd, Elk Grove, CA 95757
Phone
(916) 479-7020
Fax
(916) 479-7021

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 Elk Grove, CA

Related

Questions

What is the CLIA number for Safeway Pharmacy #0094 in Elk Grove?

05D2316014, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Safeway Pharmacy #0094 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2316014 expire?

The CMS file lists December 23, 2026 as the certificate expiration date; the certificate took effect December 24, 2024.

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