CLIA lab
CLIA 11D2099022: Kroger Pharmacy #621
Covington, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2099022 belongs to Kroger Pharmacy #621 in Covington, 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
- 11D2099022
- Lab name
- Kroger Pharmacy #621
- Address
- 3700 Salem Rd, Covington, GA 30016
- Phone
- (678) 342-6050
- Fax
- (678) 342-6052
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 Covington, GA
- Alliance Family CareCertificate of Waiver, Physician office11D1018789
- Amedisys Ga, LLC, DBA Amedisys Home Hlth CovingtonCertificate of Waiver, Home health agency11D0669953
- Armor Health of NewtonCertificate of Waiver, Other11D2350378
- Atlanta Plus Primary Care LLCCertificate of Waiver, Other11D2299370
- Axis Occupational HealthCertificate of Waiver, Other practitioner11D2230488
- C3 EMS Ambulance ServiceCertificate of Waiver, Ambulance11D2294702
- Carmichaels of CovingtonCertificate of Waiver, Pharmacy11D2183285
- Cathy T Larrimore MDCertificate for Provider-Performed Microscopy Procedures, Physician office11D1019245
- Coat of Arms Medical Transport Services, LLCCertificate of Waiver, Ambulance11D2269879
- Covington Fire DepartmentCertificate of Waiver, Other11D2273171
Related
Questions
What is the CLIA number for Kroger Pharmacy #621 in Covington?
11D2099022, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #621 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2099022 expire?
The CMS file lists July 19, 2027 as the certificate expiration date; the certificate took effect July 20, 2025.