CLIA lab
CLIA 11D1006519: Kroger Pharmacy Number #408
Canton, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1006519 belongs to Kroger Pharmacy Number #408 in Canton, 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
- November 25, 2002
- 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
- 11D1006519
- Lab name
- Kroger Pharmacy Number #408
- Address
- 8020 Cumming Highway, Canton, GA 30115
- Phone
- (770) 345-8461
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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- Advanced Urology Institute of Georgia, LLCCertificate of Waiver, Physician office11D2186854
- Aga, LLCCertificate of Waiver, Physician office11D2138139
- Ahs Surgery Center Canton, LLCCertificate of Waiver, Ambulatory surgery center11D2076515
- American Health Imaging of CantonCertificate of Waiver, Independent11D2075795
- Aqua Dermatology of Georgia, PCCertificate of Registration, Physician office11D2312115
- Atlanta Cancer Care Canton OfficeCertificate of Accreditation, Physician office11D2129965
- Atlanta North Dermatology & Skin CareCertificate of Registration, Physician office11D2324304
- Aylo Health - CantonCertificate of Accreditation, Physician office11D2290810
- Aylo Health - Hickory FlatCertificate of Accreditation, Physician office11D2316749
Related
Questions
What is the CLIA number for Kroger Pharmacy Number #408 in Canton?
11D1006519, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy Number #408 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1006519 expire?
The CMS file lists September 14, 2028 as the certificate expiration date; the certificate took effect September 15, 2026.