CLIA lab
CLIA 11D2099859: Kroger Pharmacy #354
Stone Mountain, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2099859 belongs to Kroger Pharmacy #354 in Stone Mountain, GA.
Certificate of Waiver, effective August 4, 2025, expires August 3, 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
- August 4, 2025
- Certificate expiration
- August 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 4, 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
- 11D2099859
- Lab name
- Kroger Pharmacy #354
- Address
- 1232 South Hairston Rd, Stone Mountain, GA 30088
- Phone
- (404) 292-5542
- Fax
- (404) 297-4223
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.
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Related
Questions
What is the CLIA number for Kroger Pharmacy #354 in Stone Mountain?
11D2099859, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #354 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2099859 expire?
The CMS file lists August 3, 2027 as the certificate expiration date; the certificate took effect August 4, 2025.