CLIA lab
CLIA 42D1005274: Kroger Pharmacy #020
North Myrtle Beach, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D1005274 belongs to Kroger Pharmacy #020 in North Myrtle Beach, SC.
Certificate of Waiver, effective April 13, 2026, expires April 12, 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
- April 13, 2026
- Certificate expiration
- April 12, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 17, 2002
- Facility type
- Other
- 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
- 42D1005274
- Lab name
- Kroger Pharmacy #020
- Address
- 781 Main Street, North Myrtle Beach, SC 29582
- Phone
- (843) 249-9967
- Fax
- (843) 280-3643
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in North Myrtle Beach, SC
- Audrey Trepiccione, CPM, LM/ Oceanside Midwives, LCertificate of Waiver, Other practitioner42D2242456
- Better Days Health & Wellness, LLCCertificate of Waiver, Physician office42D2345665
- Centerwell Senior Primary Care-North Myrtle BeachCertificate of Waiver, Physician office42D2327166
- Charleston Carenow Urgent Care, LLCCertificate of Waiver, Physician office42D0252144
- Eastern Nephrology AssociatesCertificate of Waiver, Physician office42D2159235
- FMC Dialysis SVS - North Myrtle BeachCertificate of Waiver, End stage renal disease dialysis facility42D0955712
- Independent Mental Health SolutionsCertificate of Waiver, Other42D2344144
- Mcleod Primary Care North Myrtle BeachCertificate of Waiver, Physician office42D2217107
- Mcleod Rheumatology SeacoastCertificate for Provider-Performed Microscopy Procedures, Physician office42D2131339
- Minuteclinic Diagnostic of South Carolina, LLCCertificate of Waiver, Other42D2034113
Related
Questions
What is the CLIA number for Kroger Pharmacy #020 in North Myrtle Beach?
42D1005274, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #020 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D1005274 expire?
The CMS file lists April 12, 2028 as the certificate expiration date; the certificate took effect April 13, 2026.