CLIA lab

CLIA 11D0983259: Kroger Pharmacy #420

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

CLIA number 11D0983259 belongs to Kroger Pharmacy #420 in Newnan, 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
11D0983259
Lab name
Kroger Pharmacy #420
Address
3150 East Highway 34, Newnan, GA 30265
Phone
(770) 254-3035

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 Newnan, GA

Related

Questions

What is the CLIA number for Kroger Pharmacy #420 in Newnan?

11D0983259, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kroger Pharmacy #420 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D0983259 expire?

The CMS file lists September 14, 2028 as the certificate expiration date; the certificate took effect September 15, 2026.

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