CLIA lab
CLIA 11D2095892: Kroger Pharmacy #212
Tucker, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2095892 belongs to Kroger Pharmacy #212 in Tucker, GA.
Certificate of Waiver, effective May 13, 2025, expires May 12, 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
- May 13, 2025
- Certificate expiration
- May 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 13, 2015
- 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
- 11D2095892
- Lab name
- Kroger Pharmacy #212
- Address
- 3959 A Lavista Rd, Tucker, GA 30084
- Phone
- (770) 934-6442
- Fax
- (770) 908-9473
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 Tucker, GA
- Amedisys Georgia LLCCertificate of Waiver, Home health agency11D0672014
- Anwan Regenerative CenterCertificate of Waiver, Independent11D2283291
- Anwan Wellness Medical CenterCertificate of Waiver, Physician office11D1043486
- Athanasios Verras MDCertificate of Waiver, Physician office11D0678791
- Atlanta Health Center PCCertificate of Waiver, Physician office11D2298343
- Atlanta Heart Specialist, LLCCertificate of Waiver, Physician office11D2332073
- Atlanta Heart Specialists LaboratoryCertificate of Waiver, Physician office11D1015089
- Bliss Family MedicineCertificate of Waiver, Physician office11D2321961
- Bma of TuckerCertificate of Waiver, End stage renal disease dialysis facility11D0662503
- Briarwood Health Center By HarborviewCertificate of Waiver, Skilled nursing or nursing facility11D2128966
Related
Questions
What is the CLIA number for Kroger Pharmacy #212 in Tucker?
11D2095892, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #212 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2095892 expire?
The CMS file lists May 12, 2027 as the certificate expiration date; the certificate took effect May 13, 2025.