CLIA lab
CLIA 11D0983257: Kroger Pharmacy #429
Cedartown, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0983257 belongs to Kroger Pharmacy #429 in Cedartown, GA.
Certificate of Waiver, effective September 15, 2026, expires September 14, 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
- September 15, 2026
- Certificate expiration
- September 14, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 21, 2001
- 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
- 11D0983257
- Lab name
- Kroger Pharmacy #429
- Address
- 730 North Main Street, Cedartown, GA 30125
- Phone
- (770) 749-5095
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.
Other labs in Cedartown, GA
- Adventhealth Medical Group at CedartownCertificate of Waiver, Physician office11D2276670
- Atrium Health - NorthsideCertificate of Waiver, School or student health service11D2285352
- Atrium Health - WestsideCertificate of Waiver, School or student health service11D2285353
- Atrium Health - Youngs GroveCertificate of Waiver, School or student health service11D2285356
- Atrium Health Floyd Polk MedicalCertificate of Accreditation, Hospital11D0670518
- Atrium Health Floyd Primary CareCertificate for Provider-Performed Microscopy Procedures, Physician office11D0256378
- Atrium Health Floyd Primary CareCertificate for Provider-Performed Microscopy Procedures, Physician office11D0906012
- Atrium Health- Cherokee ElementaryCertificate of Waiver, School or student health service11D2275426
- Atrium Health-Cedartown HighCertificate of Waiver, School or student health service11D2171544
- Cedar Valley Nursing & Rehab CenterCertificate of Waiver, Skilled nursing or nursing facility11D0681203
Related
Questions
What is the CLIA number for Kroger Pharmacy #429 in Cedartown?
11D0983257, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #429 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0983257 expire?
The CMS file lists September 14, 2028 as the certificate expiration date; the certificate took effect September 15, 2026.