CLIA lab
CLIA 11D2096099: Kroger Pharmacy #430
Woodstock, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2096099 belongs to Kroger Pharmacy #430 in Woodstock, GA.
Certificate of Waiver, effective May 15, 2025, expires May 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
- May 15, 2025
- Certificate expiration
- May 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 15, 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
- 11D2096099
- Lab name
- Kroger Pharmacy #430
- Address
- 5339 Old Hwy 5, Woodstock, GA 30188
- Phone
- (770) 924-6411
- Fax
- (770) 924-6519
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 Woodstock, GA
- Accumed Home Health of Georgia, LLCCertificate of Waiver, Home health agency11D1000475
- Aga LLCCertificate of Waiver, Physician office11D1079877
- Agape Hospice Care of Cherokee County, LLCCertificate of Waiver, Hospice11D2164228
- Agape Recovery House DBA Inner Voyage Recovery CTRCertificate of Waiver, Independent11D2228729
- Ajmeri Wellness PCCertificate of Accreditation, Physician office11D2316019
- Alliance Surgery Center at Woodstock, LLCCertificate of Waiver, Ambulatory surgery center11D2160013
- American Family Care - WoodstockCertificate of Waiver, Physician office11D2069252
- Aqua Dermatology of Georgia, PCCertificate of Waiver, Physician office11D2312059
- Athens Family Medicine, LLCCertificate of Waiver, Physician office11D1019624
- Atlanta North Dermatology & Skin Care, IncCertificate of Compliance, Physician office11D1092445
Related
Questions
What is the CLIA number for Kroger Pharmacy #430 in Woodstock?
11D2096099, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #430 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2096099 expire?
The CMS file lists May 14, 2027 as the certificate expiration date; the certificate took effect May 15, 2025.