CLIA lab
CLIA 11D2129427: Kroger Pharmacy # 625
Rincon, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2129427 belongs to Kroger Pharmacy # 625 in Rincon, GA.
Certificate of Waiver, effective April 19, 2025, expires April 18, 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
- April 19, 2025
- Certificate expiration
- April 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 19, 2017
- Facility type
- Other
- 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
- 11D2129427
- Lab name
- Kroger Pharmacy # 625
- Address
- 461 S Columbia Avenue, Rincon, GA 31326
- Phone
- (912) 584-7140
- Fax
- (912) 584-7145
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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- Centricity Research Rincon PulmonologyCertificate of Waiver, Other11D2033912
- Chatham Orthopaedic AssociatesCertificate of Waiver, Physician office11D2009527
- DR Lynn's Family Practice PCCertificate of Waiver, Physician office11D1056459
- Effingham Hospital IncCertificate for Provider-Performed Microscopy Procedures, Rural health clinic11D0899919
- Effingham Hospital IncCertificate for Provider-Performed Microscopy Procedures, Physician office11D2071253
- Expercare - Rincon, GaCertificate of Waiver, Physician office11D2312386
- Gateway Community Service BoardCertificate of Waiver, Other11D2279236
- Georgia CVS Pharmacy, LLC DBA Cvs/Pharmacy #07758Certificate of Waiver, Pharmacy11D2255780
- Horizon Behavioral Health, PCCertificate of Waiver, Physician office11D2125111
Related
Questions
What is the CLIA number for Kroger Pharmacy # 625 in Rincon?
11D2129427, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy # 625 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2129427 expire?
The CMS file lists April 18, 2027 as the certificate expiration date; the certificate took effect April 19, 2025.