CLIA lab
CLIA 11D2097096: Kroger Pharmacy #633
Mcdonough, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2097096 belongs to Kroger Pharmacy #633 in Mcdonough, GA.
Certificate of Waiver, effective June 9, 2025, expires June 8, 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
- June 9, 2025
- Certificate expiration
- June 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 9, 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
- 11D2097096
- Lab name
- Kroger Pharmacy #633
- Address
- 2000 Highway 155 N, Mcdonough, GA 30252
- Phone
- (770) 954-4389
- Fax
- (770) 954-1849
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 Mcdonough, GA
- A'aura Healthcare SolutionsCertificate of Waiver, Independent11D2340882
- Atlanta Heart Associates, PCCertificate of Waiver, Physician office11D0869508
- Aylo Health - Hwy 155Certificate of Accreditation, Physician office11D2010080
- Aylo Health- Hwy 81Certificate of Accreditation, Physician office11D1089307
- Bella DermatologyCertificate for Provider-Performed Microscopy Procedures, Physician office11D2120550
- Beyond Your Ordinary Treatment CenterCertificate of Waiver, Other11D2178068
- Biolife Plasma Services LPCertificate of Compliance, Other11D2160347
- Biosafe Solutions, LLCCertificate of Waiver, Mobile lab11D2337953
- Bohland Family & Sports Chiropractic ClinicCertificate of Waiver, Other practitioner11D2146258
- Bright Star Healthcare Group, LLCCertificate of Waiver, Comprehensive outpatient rehab facility11D2167617
Related
Questions
What is the CLIA number for Kroger Pharmacy #633 in Mcdonough?
11D2097096, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #633 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2097096 expire?
The CMS file lists June 8, 2027 as the certificate expiration date; the certificate took effect June 9, 2025.