CLIA lab
CLIA 11D0983261: Kroger Pharmacy # 376
Lithia Springs, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0983261 belongs to Kroger Pharmacy # 376 in Lithia Springs, GA.
Certificate of Waiver, effective April 20, 2025, expires April 19, 2027.
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
- April 20, 2025
- Certificate expiration
- April 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 21, 2001
- Facility type
- Other
- 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
- 11D0983261
- Lab name
- Kroger Pharmacy # 376
- Address
- 630 Thornton Road, Lithia Springs, GA 30122
- Phone
- (770) 732-6995
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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- Kids Start Pediatrics, PCCertificate of Waiver, Physician office11D0989048
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Related
Questions
What is the CLIA number for Kroger Pharmacy # 376 in Lithia Springs?
11D0983261, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy # 376 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0983261 expire?
The CMS file lists April 19, 2027 as the certificate expiration date; the certificate took effect April 20, 2025.