CLIA lab
CLIA 11D2098479: Kroger Pharmacy #492
Lake City, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2098479 belongs to Kroger Pharmacy #492 in Lake City, GA.
Certificate of Waiver, effective July 8, 2025, expires July 7, 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 8, 2025
- Certificate expiration
- July 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 8, 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
- 11D2098479
- Lab name
- Kroger Pharmacy #492
- Address
- 5664 Jonesboro Road, Lake City, GA 30260
- Phone
- (770) 960-0162
- Fax
- (770) 960-2889
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 Lake City, GA
Related
Questions
What is the CLIA number for Kroger Pharmacy #492 in Lake City?
11D2098479, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #492 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2098479 expire?
The CMS file lists July 7, 2027 as the certificate expiration date; the certificate took effect July 8, 2025.