CLIA lab
CLIA 11D2099861: Kroger Pharmacy #363
Newnan, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2099861 belongs to Kroger Pharmacy #363 in Newnan, 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
- 11D2099861
- Lab name
- Kroger Pharmacy #363
- Address
- 48 Bullsboro Dr, Newnan, GA 30263
- Phone
- (770) 251-5188
- Fax
- (770) 254-9657
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 Newnan, GA
- Affinis Hospice, LLCCertificate of Waiver, Hospice11D2053487
- Aga, LLCCertificate of Waiver, Physician office11D2157292
- Airlife FourCertificate of Waiver, Ambulance11D2020271
- Aleph Integrity LabsCertificate of Waiver, Mobile lab11D2334348
- Alora HealthCertificate of Waiver, Other11D2338643
- Amedisys Hospice Care of NewnanCertificate of Waiver, Hospice11D1078958
- American Health Imaging of NewnanCertificate of Waiver, Independent11D1092806
- Ansley Park Health and RehabilitationCertificate of Waiver, Skilled nursing or nursing facility11D2066846
- Aqua Dermatology of Georgia - NewnanCertificate of Compliance, Physician office11D1059972
- Avalon Health and RehabilitationCertificate of Waiver, Skilled nursing or nursing facility11D0702339
Related
Questions
What is the CLIA number for Kroger Pharmacy #363 in Newnan?
11D2099861, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #363 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2099861 expire?
The CMS file lists August 3, 2027 as the certificate expiration date; the certificate took effect August 4, 2025.