CLIA lab
CLIA 11D0984301: Kroger Pharmacy #405
Mcdonough, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0984301 belongs to Kroger Pharmacy #405 in Mcdonough, 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 19, 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
- 11D0984301
- Lab name
- Kroger Pharmacy #405
- Address
- 301 Jonesboro Road, Mcdonough, GA 30253
- Phone
- (770) 954-4375
- Fax
- (770) 954-4374
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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- Aylo Health- Hwy 81Certificate of Accreditation, Physician office11D1089307
- Bella DermatologyCertificate for Provider-Performed Microscopy Procedures, Physician office11D2120550
- Beyond Your Ordinary Treatment CenterCertificate of Waiver, Other11D2178068
- Biolife Plasma Services LPCertificate of Compliance, Other11D2160347
- Biosafe Solutions, LLCCertificate of Waiver, Mobile lab11D2337953
- Bohland Family & Sports Chiropractic ClinicCertificate of Waiver, Other practitioner11D2146258
- Bright Star Healthcare Group, LLCCertificate of Waiver, Comprehensive outpatient rehab facility11D2167617
Related
Questions
What is the CLIA number for Kroger Pharmacy #405 in Mcdonough?
11D0984301, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #405 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0984301 expire?
The CMS file lists December 16, 2026 as the certificate expiration date; the certificate took effect December 17, 2024.