CLIA lab
CLIA 11D0984216: Kroger Pharmacy #294
Martinez, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0984216 belongs to Kroger Pharmacy #294 in Martinez, GA.
Certificate of Waiver, effective December 17, 2024, expires December 16, 2026.
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
- December 17, 2024
- Certificate expiration
- December 16, 2026
- 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
- 11D0984216
- Lab name
- Kroger Pharmacy #294
- Address
- 4115 Columbia Road, Martinez, GA 30907
- Phone
- (706) 863-9645
- Fax
- (706) 863-6139
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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- 331 Timberidge DRCertificate of Waiver, School or student health service11D2259279
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- Alliance HospiceCertificate of Waiver, Hospice11D1048677
- Augusta Home Care Services, LLCCertificate of Waiver, Home health agency11D0873083
- Augusta Home Care Services, LLCCertificate of Waiver, Hospice11D2167156
- Augusta Plastic Surgery Center, IncCertificate of Waiver, Ambulatory surgery center11D2004718
- Benjamin F Towe MD PCCertificate for Provider-Performed Microscopy Procedures, Physician office11D0970020
- Capital City Ambulance of GeorgiaCertificate of Waiver, Ambulance11D2268003
- Claiborne at West Lake, theCertificate of Waiver, Assisted living facility11D2194298
Related
Questions
What is the CLIA number for Kroger Pharmacy #294 in Martinez?
11D0984216, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #294 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0984216 expire?
The CMS file lists December 16, 2026 as the certificate expiration date; the certificate took effect December 17, 2024.