CLIA lab
CLIA 04D1026372: Kroger Pharmacy 613
Cabot, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1026372 belongs to Kroger Pharmacy 613 in Cabot, AR.
Certificate of Waiver, effective June 3, 2026, expires June 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
- June 3, 2026
- Certificate expiration
- June 2, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 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
- 04D1026372
- Lab name
- Kroger Pharmacy 613
- Address
- 1295 West Main Street, Cabot, AR 72023
- Phone
- (501) 628-3787
- Fax
- (501) 628-5790
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 Cabot, AR
- Absolute Wellness PLLCCertificate of Waiver, Physician office04D2346734
- Arcare 46Certificate of Waiver, Federally qualified health center04D2073301
- Arcare 89Certificate of Waiver, Federally qualified health center04D2106987
- Arcare 93Certificate of Waiver, Federally qualified health center04D2020574
- Arcare at Cabot School District AnnexCertificate of Waiver, Federally qualified health center04D2175849
- Arkansas DermatologyCertificate of Compliance, Physician office04D1085870
- Baptist Health Family Clinic CabotCertificate of Compliance, Physician office04D0466189
- Baptist Health Urgent Care - Cabot WestCertificate of Waiver, Physician office04D2106278
- Baptist Health Urgent Care-Cabot,arCertificate of Waiver, Physician office04D2137880
- Cabot Emergency HospitalCertificate of Compliance, Hospital04D2167461
Related
Questions
What is the CLIA number for Kroger Pharmacy 613 in Cabot?
04D1026372, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy 613 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D1026372 expire?
The CMS file lists June 2, 2028 as the certificate expiration date; the certificate took effect June 3, 2026.