CLIA lab
CLIA 11D2098984: Kroger Pharmacy #641
Bonaire, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2098984 belongs to Kroger Pharmacy #641 in Bonaire, GA.
Certificate of Waiver, effective July 20, 2025, expires July 19, 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 20, 2025
- Certificate expiration
- July 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 20, 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
- 11D2098984
- Lab name
- Kroger Pharmacy #641
- Address
- 774 Highway 96, Bonaire, GA 31005
- Phone
- (478) 988-5720
- Fax
- (478) 988-5720
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 Bonaire, GA
- Bonaire Med StopCertificate of Compliance, Other11D2200388
- FP- Peachtree Immediate Care (Bna)Certificate of Waiver, Physician office11D2276604
- Hometown Occupational Medicine, LLCCertificate of Waiver, Other11D2278749
- Houston Family MedicineCertificate of Waiver, Physician office11D0934297
- Houston Primary Care Physicians, LLCCertificate of Waiver, Physician office11D2231914
- Internal Medicine and GeriatricsCertificate of Waiver, Physician office11D1031801
- Primary Pediatrics of BonaireCertificate of Compliance, Physician office11D2160839
- Southeast Medical Group DBA Houston Family CareCertificate of Waiver, Physician office11D2323352
- UC- Peachtree Immediate Care (Bna)Certificate of Waiver, Physician office11D2276606
- Womens Healthcare of Middle GaCertificate for Provider-Performed Microscopy Procedures, Physician office11D2286120
Related
Questions
What is the CLIA number for Kroger Pharmacy #641 in Bonaire?
11D2098984, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #641 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2098984 expire?
The CMS file lists July 19, 2027 as the certificate expiration date; the certificate took effect July 20, 2025.