CLIA lab

CLIA 11D0984210: Kroger Pharmacy #393

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

CLIA number 11D0984210 belongs to Kroger Pharmacy #393 in Calhoun, GA.

Certificate of Waiver, effective September 16, 2026, expires September 15, 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 16, 2026
Certificate expiration
September 15, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 16, 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
11D0984210
Lab name
Kroger Pharmacy #393
Address
136 West Belmont Drive SW, Calhoun, GA 30701
Phone
(706) 625-4211

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 Calhoun, GA

Related

Questions

What is the CLIA number for Kroger Pharmacy #393 in Calhoun?

11D0984210, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kroger Pharmacy #393 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D0984210 expire?

The CMS file lists September 15, 2028 as the certificate expiration date; the certificate took effect September 16, 2026.

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