CLIA lab
CLIA 49D0992937: Costco Pharmacy #205
Glen Allen, VA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 49D0992937 belongs to Costco Pharmacy #205 in Glen Allen, VA.
Certificate of Waiver, effective October 30, 2025, expires October 29, 2027.
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
- October 30, 2025
- Certificate expiration
- October 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 30, 2001
- 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
- 49D0992937
- Lab name
- Costco Pharmacy #205
- Address
- 9650 West Broad Street, Glen Allen, VA 23060
- Phone
- (425) 373-8100
- Fax
- (425) 313-6922
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Costco Pharmacy #205 in Glen Allen?
49D0992937, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Costco Pharmacy #205 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 49D0992937 expire?
The CMS file lists October 29, 2027 as the certificate expiration date; the certificate took effect October 30, 2025.