CLIA lab
CLIA 04D1021881: Kroger Pharmacy #606
Maumelle, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1021881 belongs to Kroger Pharmacy #606 in Maumelle, AR.
Certificate of Waiver, effective February 3, 2026, expires February 2, 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
- February 3, 2026
- Certificate expiration
- February 2, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 3, 2004
- 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
- 04D1021881
- Lab name
- Kroger Pharmacy #606
- Address
- 110 Commons Dr, Maumelle, AR 72113
- Phone
- (501) 851-7528
- Fax
- (501) 851-2128
Annual test volume the lab reported
- Waived tests
- 3,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Maumelle, AR
- Achor Family PharmacyCertificate of Waiver, Pharmacy04D2182537
- Baptist Health Family ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office04D0466687
- Baptist Health Urgent Care-MaumelleCertificate of Waiver, Physician office04D2069565
- Chi ST Vincent Primary Care MaumelleCertificate for Provider-Performed Microscopy Procedures, Physician office04D1062386
- Healthcare ExpressCertificate of Waiver, Other04D2086145
- Kimberly Clark Corporation (Maumelle)Certificate of Waiver, Other04D2157549
- Lakes at Maumelle Health & Rehab, theCertificate of Waiver, Skilled nursing or nursing facility04D1061529
- Maumelle Family MedicineCertificate of Waiver, Physician office04D2288072
- Maumelle Medical Arcare 32Certificate of Waiver, Federally qualified health center04D2174110
- Mira at MaumelleCertificate of Waiver, Assisted living facility04D2298853
Related
Questions
What is the CLIA number for Kroger Pharmacy #606 in Maumelle?
04D1021881, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #606 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D1021881 expire?
The CMS file lists February 2, 2028 as the certificate expiration date; the certificate took effect February 3, 2026.