CLIA lab

CLIA 11D1096813: Kroger Pharmacy Number 688

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

CLIA number 11D1096813 belongs to Kroger Pharmacy Number 688 in Richmond Hill, GA.

Certificate of Waiver, effective March 12, 2025, expires March 11, 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
March 12, 2025
Certificate expiration
March 11, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 12, 2009
Facility type
Industrial
Ownership (control type)
Other
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
11D1096813
Lab name
Kroger Pharmacy Number 688
Address
53 Exchange Street, Richmond Hill, GA 31324
Phone
(912) 459-3030

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.

Affiliated CLIA numbers

Other labs in Richmond Hill, GA

Related

Questions

What is the CLIA number for Kroger Pharmacy Number 688 in Richmond Hill?

11D1096813, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kroger Pharmacy Number 688 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D1096813 expire?

The CMS file lists March 11, 2027 as the certificate expiration date; the certificate took effect March 12, 2025.

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