CLIA lab
CLIA 49D1000636: Costo Pharmacy #340
Fredericksburg, VA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 49D1000636 belongs to Costo Pharmacy #340 in Fredericksburg, VA.
Certificate of Waiver, effective June 19, 2026, expires June 18, 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 19, 2026
- Certificate expiration
- June 18, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 19, 2002
- 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
- 49D1000636
- Lab name
- Costo Pharmacy #340
- Address
- 3102 Plank Road - Suite 600, Fredericksburg, VA 22407
- Phone
- (540) 785-1163
- Fax
- (425) 313-8114
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 Costo Pharmacy #340 in Fredericksburg?
49D1000636, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Costo Pharmacy #340 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 49D1000636 expire?
The CMS file lists June 18, 2028 as the certificate expiration date; the certificate took effect June 19, 2026.