CLIA lab
CLIA 11D2064143: Kroger Pharmacy #210
Dunwoody, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2064143 belongs to Kroger Pharmacy #210 in Dunwoody, GA.
Certificate of Waiver, effective August 15, 2025, expires August 14, 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
- August 15, 2025
- Certificate expiration
- August 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 15, 2013
- Facility type
- Other
- 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
- 11D2064143
- Lab name
- Kroger Pharmacy #210
- Address
- 4498 Chamblee Dunwoody Road, Dunwoody, GA 30338
- Phone
- (770) 451-7408
- Fax
- (770) 451-7683
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 Dunwoody, GA
- Albert F Johary MDCertificate of Waiver, Physician office11D0876801
- Alpha Clinical Research Georgia, LLCCertificate of Waiver, Other11D2212968
- Berman CommonsCertificate of Waiver, Assisted living facility11D2195366
- Complete Care at Home, LLCCertificate of Waiver, Other11D1073892
- Comprehensive Women's Ob/Gyn Associates, LLCCertificate for Provider-Performed Microscopy Procedures, Physician office11D0948330
- Dekalb Ob/Gyn AffiliatesCertificate of Waiver, Physician office11D2102592
- Dunwoody Labs, IncCertificate of Accreditation, Independent11D1101209
- Dunwoody Obstetrics & Gynecology PCCertificate for Provider-Performed Microscopy Procedures, Physician office11D0260078
- Dunwoody PharmacyCertificate of Waiver, Pharmacy11D1078759
- Dunwoody Wellness LLC DBA PrimehealthmdCertificate of Waiver, Physician office11D2224897
Related
Questions
What is the CLIA number for Kroger Pharmacy #210 in Dunwoody?
11D2064143, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #210 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2064143 expire?
The CMS file lists August 14, 2027 as the certificate expiration date; the certificate took effect August 15, 2025.