CLIA lab
CLIA 42D1005278: Kroger Pharmacy # 25
Garden City, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D1005278 belongs to Kroger Pharmacy # 25 in Garden City, SC.
Certificate of Waiver, effective June 25, 2026, expires June 24, 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
- June 25, 2026
- Certificate expiration
- June 24, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 17, 2002
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 42D1005278
- Lab name
- Kroger Pharmacy # 25
- Address
- 2939 Highway 17 South, Garden City, SC 29576
- Phone
- (843) 357-4300
- Fax
- (843) 357-2480
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.
Affiliated CLIA numbers
Other labs in Garden City, SC
Related
Questions
What is the CLIA number for Kroger Pharmacy # 25 in Garden City?
42D1005278, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy # 25 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D1005278 expire?
The CMS file lists June 24, 2028 as the certificate expiration date; the certificate took effect June 25, 2026.