CLIA lab

CLIA 49D2086536: Kroger Pharmacy #542

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

CLIA number 49D2086536 belongs to Kroger Pharmacy #542 in Portsmouth, VA.

Certificate of Waiver, effective November 5, 2024, expires November 4, 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
November 5, 2024
Certificate expiration
November 4, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 5, 2014
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
49D2086536
Lab name
Kroger Pharmacy #542
Address
1301 Frederick Blvd, Attn Pharmacist In Charge, Portsmouth, VA 23707
Phone
(757) 337-5341
Fax
(757) 337-5343

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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Related

Questions

What is the CLIA number for Kroger Pharmacy #542 in Portsmouth?

49D2086536, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kroger Pharmacy #542 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 49D2086536 expire?

The CMS file lists November 4, 2026 as the certificate expiration date; the certificate took effect November 5, 2024.

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