CLIA lab
CLIA 11D2097309: Kroger Pharmacy #439
Waycross, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2097309 belongs to Kroger Pharmacy #439 in Waycross, GA.
Certificate of Waiver, effective June 12, 2025, expires June 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
- June 12, 2025
- Certificate expiration
- June 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 12, 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
- 11D2097309
- Lab name
- Kroger Pharmacy #439
- Address
- 1606 Memorial Drive, Waycross, GA 31501
- Phone
- (912) 287-2277
- Fax
- (912) 287-0571
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.
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- Amedisys Georgia LLC DBA Amedisys Home HealthCertificate of Waiver, Home health agency11D0700794
- American Oncology Partners, P ACertificate of Accreditation, Physician office11D2250040
- Apex Health and WellnessCertificate of Waiver, Physician office11D2337424
- Baptist Village IncCertificate of Waiver, Skilled nursing or nursing facility11D0646108
- Baptist Village, IncCertificate of Waiver, Other11D2194798
- Bio-Medical Applications of Ga, IncCertificate of Waiver, End stage renal disease dialysis facility11D0726132
- Bone and Joint Institute of South GeorgiaCertificate of Waiver, Physician office11D2063637
Related
Questions
What is the CLIA number for Kroger Pharmacy #439 in Waycross?
11D2097309, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #439 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2097309 expire?
The CMS file lists June 11, 2027 as the certificate expiration date; the certificate took effect June 12, 2025.