CLIA lab
CLIA 42D2009090: Kroger Pharmacy #002
Irmo, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D2009090 belongs to Kroger Pharmacy #002 in Irmo, 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
- June 25, 2010
- 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
- 42D2009090
- Lab name
- Kroger Pharmacy #002
- Address
- 7467 St Andrews Rd, Ste 6, Irmo, SC 29063
- Phone
- (803) 732-0426
- Fax
- (803) 732-2698
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 Irmo, SC
- Alf Project HB, LLC DBA Harbison ShoresCertificate of Waiver, Assisted living facility42D2195948
- American Health Imaging of IrmoCertificate of Waiver, Other42D2242539
- Ballentine Pediatrics,llcCertificate of Waiver, Physician office42D1088197
- Carolina Cardiology & Vascular Associates, LLCCertificate of Waiver, Physician office42D2166445
- Carolina Pediatrics PACertificate of Waiver, Physician office42D1074842
- Elite GynecologyCertificate for Provider-Performed Microscopy Procedures, Physician office42D2177576
- Encompass Health Rehabilitation Hospital of IrmoCertificate of Waiver, Hospital42D2333554
- Fresenius Medical Care Cna Kidney Centers, LLCCertificate of Waiver, End stage renal disease dialysis facility42D0986107
- Generations of Irmo, LLCCertificate of Waiver, Assisted living facility42D2066738
- Lexington Family Practice BallentineCertificate of Accreditation, Physician office42D1041254
Related
Questions
What is the CLIA number for Kroger Pharmacy #002 in Irmo?
42D2009090, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #002 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D2009090 expire?
The CMS file lists June 24, 2028 as the certificate expiration date; the certificate took effect June 25, 2026.