CLIA lab
CLIA 14D1012126: Kroger Pharmacy J705
East Peoria, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D1012126 belongs to Kroger Pharmacy J705 in East Peoria, IL.
Certificate of Waiver, effective May 1, 2025, expires April 30, 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
- May 1, 2025
- Certificate expiration
- April 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 1, 2003
- 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
- 14D1012126
- Lab name
- Kroger Pharmacy J705
- Address
- 201 S Main, East Peoria, IL 61611
- Phone
- (309) 694-6451
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 East Peoria, IL
- Carle Health East Peoria on Washington STCertificate of Waiver, Physician office14D0664668
- Caterpillar - East Peoria Building KKCertificate of Waiver, Other14D2031061
- Caterpillar - East Peoria Building SSCertificate of Waiver, Other14D2031659
- Caterpillar Inc - East Peoria Bldg L LCertificate of Waiver, Other14D2028309
- Caterpillar Inc - East Peoria Building AdCertificate of Waiver, Industrial14D0670616
- Caterpillar Inc - Peoria Proving GroundsCertificate of Waiver, Industrial14D1066818
- East Peoria Community High SchoolCertificate of Waiver, School or student health service14D2270208
- Everside Health - East PeoriaCertificate of Waiver, Physician office14D2182526
- Fresenius Kidney Care - East Peoria HomeCertificate of Waiver, End stage renal disease dialysis facility14D2162090
- Loft Rehabilitation of East PeoriaCertificate of Waiver, Skilled nursing or nursing facility14D2176804
Related
Questions
What is the CLIA number for Kroger Pharmacy J705 in East Peoria?
14D1012126, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy J705 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D1012126 expire?
The CMS file lists April 30, 2027 as the certificate expiration date; the certificate took effect May 1, 2025.