CLIA lab

CLIA 11D2347931: Kroger Pharmacy 01100798

Locust Grove, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 11D2347931 belongs to Kroger Pharmacy 01100798 in Locust Grove, GA.

Certificate of Waiver, effective July 28, 2026, expires July 27, 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
July 28, 2026
Certificate expiration
July 27, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 28, 2026
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
11D2347931
Lab name
Kroger Pharmacy 01100798
Address
2689 Highway 155 S, Locust Grove, GA 30248
Phone
(770) 284-2070
Fax
(770) 954-1849

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 Locust Grove, GA

Related

Questions

What is the CLIA number for Kroger Pharmacy 01100798 in Locust Grove?

11D2347931, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kroger Pharmacy 01100798 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2347931 expire?

The CMS file lists July 27, 2028 as the certificate expiration date; the certificate took effect July 28, 2026.

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