CLIA lab
CLIA 11D2118911: Kroger Pharmacy #416
Flowery Branch, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2118911 belongs to Kroger Pharmacy #416 in Flowery Branch, GA.
Certificate of Waiver, effective September 16, 2026, expires September 15, 2028.
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
- September 16, 2026
- Certificate expiration
- September 15, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 16, 2016
- 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
- 11D2118911
- Lab name
- Kroger Pharmacy #416
- Address
- 7380 Spout Springs Road, Flowery Branch, GA 30542
- Phone
- (770) 965-5644
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 Flowery Branch, GA
- Aqua Dermatology of Georgia, PCCertificate of Waiver, Physician office11D2312061
- Georgia CVS Pharmacy, LLCCertificate of Waiver, Pharmacy11D2282477
- Ingles Markets, Inc (Ingles Pharmacy #412)Certificate of Waiver, Pharmacy11D2184992
- Kroger Pharmacy # 632Certificate of Waiver, Pharmacy11D2098944
- Lanier Christian AcademyCertificate of Waiver, School or student health service11D2272252
- Medlife HealthcareCertificate of Waiver, Physician office11D2280069
- Medlife Urgent CareCertificate of Waiver, Physician office11D2235076
- Medlife Urgent CareCertificate of Waiver, Physician office11D2280072
- Northeast Georgia Physicians GroupCertificate of Compliance, Physician office11D0997747
- Northeast Georgia Physicians GroupCertificate of Waiver, Physician office11D1009812
Related
Questions
What is the CLIA number for Kroger Pharmacy #416 in Flowery Branch?
11D2118911, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #416 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2118911 expire?
The CMS file lists September 15, 2028 as the certificate expiration date; the certificate took effect September 16, 2026.