CLIA lab

CLIA 14D0977146: Kroger Pharmacy J946

Decatur, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 14D0977146 belongs to Kroger Pharmacy J946 in Decatur, IL.

Certificate of Waiver, effective August 22, 2026, expires August 21, 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
August 22, 2026
Certificate expiration
August 21, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 22, 2000
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
14D0977146
Lab name
Kroger Pharmacy J946
Address
1818 S Airport Plaza, Decatur, IL 62525
Phone
(217) 864-5912
Fax
(217) 864-4861

Annual test volume the lab reported

Waived tests
100

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Decatur, IL

Related

Questions

What is the CLIA number for Kroger Pharmacy J946 in Decatur?

14D0977146, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kroger Pharmacy J946 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 14D0977146 expire?

The CMS file lists August 21, 2028 as the certificate expiration date; the certificate took effect August 22, 2026.

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