CLIA lab
CLIA 11D2098259: Kroger Pharmacy #456
Powder Springs, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2098259 belongs to Kroger Pharmacy #456 in Powder Springs, GA.
Certificate of Waiver, effective July 2, 2025, expires July 1, 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
- July 2, 2025
- Certificate expiration
- July 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 2, 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
- 11D2098259
- Lab name
- Kroger Pharmacy #456
- Address
- 4400 Brownsville, Powder Springs, GA 30127
- Phone
- (770) 222-4205
- Fax
- (770) 222-4208
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 Powder Springs, GA
- Bethesda Medical Group, LLCCertificate of Waiver, Physician office11D2115894
- Georgia CVS Pharmacy, LLC DBA Cvs/Pharmacy #04668Certificate of Waiver, Pharmacy11D2282790
- Kroger Pharmacy #453Certificate of Waiver, Pharmacy11D2098212
- L&D Medical CenterCertificate of Waiver, Physician office11D2190379
- Macland DialysisCertificate of Waiver, End stage renal disease dialysis facility11D2140002
- Marietta Dermatology Associates PACertificate for Provider-Performed Microscopy Procedures, Physician office11D0943798
- Marietta Ob/Gyn Affiliates PACertificate for Provider-Performed Microscopy Procedures, Physician office11D0906049
- Piedmont Quickcare at Walgreens of Powder SpringsCertificate of Waiver, Other11D2134137
- Powder Springs Center for Nursing and HealingCertificate of Waiver, Skilled nursing or nursing facility11D0864152
- Usrc Powder Springs Home, LLCCertificate of Waiver, End stage renal disease dialysis facility11D2195822
Related
Questions
What is the CLIA number for Kroger Pharmacy #456 in Powder Springs?
11D2098259, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #456 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2098259 expire?
The CMS file lists July 1, 2027 as the certificate expiration date; the certificate took effect July 2, 2025.