CLIA lab
CLIA 11D2098312: Kroger Pharmacy #464
Mableton, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2098312 belongs to Kroger Pharmacy #464 in Mableton, GA.
Certificate of Waiver, effective July 6, 2025, expires July 5, 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 6, 2025
- Certificate expiration
- July 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 6, 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
- 11D2098312
- Lab name
- Kroger Pharmacy #464
- Address
- 4875 Floyd Rd, SW, Mableton, GA 30126
- Phone
- (770) 745-3108
- Fax
- (770) 745-9907
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 Mableton, GA
- Bernard Orewa MD PCCertificate of Waiver, Physician office11D1065134
- Core Diagnostics Lab LLCCertificate of Waiver, Mobile lab11D2340254
- FP- Peachtree Immediate Care- MabCertificate of Waiver, Physician office11D2119970
- Georgia CVS Pharmacy, LLCCertificate of Waiver, Pharmacy11D2281754
- Grupo Medico De GeorgiaCertificate of Waiver, Physician office11D2211580
- His Hands Family Practice Clinic LLCCertificate of Waiver, Physician office11D2235961
- Just One Drop LLCCertificate of Waiver, Ancillary test site11D2322659
- Med Pro Point of Care Mobile ServicesCertificate of Waiver, Mobile lab11D2338942
- Moore Diagnostic Laboratory, IncCertificate of Waiver, Independent11D2195983
- New Progressions, LLCCertificate of Waiver, Other11D2155049
Related
Questions
What is the CLIA number for Kroger Pharmacy #464 in Mableton?
11D2098312, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #464 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2098312 expire?
The CMS file lists July 5, 2027 as the certificate expiration date; the certificate took effect July 6, 2025.