CLIA lab
CLIA 42D2111716: Kroger Pharmacy #640
North Augusta, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D2111716 belongs to Kroger Pharmacy #640 in North Augusta, 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
- April 13, 2016
- 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
- 42D2111716
- Lab name
- Kroger Pharmacy #640
- Address
- 1284 Knox Avenue, North Augusta, SC 29841
- Phone
- (803) 442-4510
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.
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- Augusta Oncologyassociates, PCCertificate of Compliance, Physician office42D2174210
- Beach MedicalCertificate of Waiver, Other practitioner42D2151968
- Brookdale Senior LivingCertificate of Waiver, Assisted living facility42D1004578
- Center for Primary Care - North AugustaCertificate of Accreditation, Physician office42D1025348
- Centerwell Senior Primary Care- North AugustaCertificate of Waiver, Physician office42D2327162
- Csra Pain ManagementCertificate of Waiver, Physician office42D1088831
- ER at Martintown,Certificate of Registration, Other42D2346072
- ER at Sweetwater, An Extension of AikenCertificate of Accreditation, Other42D2259178
- Essential Health & WellnessCertificate of Waiver, Physician office42D2199976
- Fox Creek High SchoolCertificate of Waiver, School or student health service42D2300226
Related
Questions
What is the CLIA number for Kroger Pharmacy #640 in North Augusta?
42D2111716, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #640 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D2111716 expire?
The CMS file lists April 12, 2028 as the certificate expiration date; the certificate took effect April 13, 2026.