CLIA lab
CLIA 11D2332487: Kroger Pharmacy 01100622
Bethlehem, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2332487 belongs to Kroger Pharmacy 01100622 in Bethlehem, GA.
Certificate of Waiver, effective October 21, 2025, expires October 20, 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
- October 21, 2025
- Certificate expiration
- October 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 21, 2025
- 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
- 11D2332487
- Lab name
- Kroger Pharmacy 01100622
- Address
- 995 Loganville Highway, Bethlehem, GA 30620
- Phone
- (470) 900-2960
- Fax
- (470) 900-2961
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 01100622 in Bethlehem?
11D2332487, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy 01100622 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2332487 expire?
The CMS file lists October 20, 2027 as the certificate expiration date; the certificate took effect October 21, 2025.