CLIA lab

CLIA 49D2089317: Kroger Pharmacy #554

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

CLIA number 49D2089317 belongs to Kroger Pharmacy #554 in Suffolk, VA.

Certificate of Waiver, effective December 26, 2024, expires December 25, 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 26, 2024
Certificate expiration
December 25, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 26, 2014
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
49D2089317
Lab name
Kroger Pharmacy #554
Address
1017 University Boulevard, Attn Pharmacist In Charge, Suffolk, VA 23435
Phone
(757) 335-4537
Fax
(757) 335-4539

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 #554 in Suffolk?

49D2089317, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kroger Pharmacy #554 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 49D2089317 expire?

The CMS file lists December 25, 2026 as the certificate expiration date; the certificate took effect December 26, 2024.

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