CLIA lab

CLIA 49D1093720: Kroger Pharmacy #515

Mechanicsville, VA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 49D1093720 belongs to Kroger Pharmacy #515 in Mechanicsville, VA.

Certificate of Waiver, effective December 30, 2024, expires December 29, 2026.

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
December 30, 2024
Certificate expiration
December 29, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 30, 2008
Facility type
Pharmacy
Ownership (control type)
Other
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
49D1093720
Lab name
Kroger Pharmacy #515
Address
9351 Atlee Drive, Mechanicsville, VA 23116
Phone
(804) 569-8241
Fax
(804) 569-8243

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 Kroger Pharmacy #515 in Mechanicsville?

49D1093720, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kroger Pharmacy #515 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 49D1093720 expire?

The CMS file lists December 29, 2026 as the certificate expiration date; the certificate took effect December 30, 2024.

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