CLIA lab
CLIA 14D1076959: Kroger Pharmacy 657
Washington, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D1076959 belongs to Kroger Pharmacy 657 in Washington, IL.
Certificate of Waiver, effective November 28, 2025, expires November 27, 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
- November 28, 2025
- Certificate expiration
- November 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 28, 2007
- 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
- 14D1076959
- Lab name
- Kroger Pharmacy 657
- Address
- #20 Cherry Tree Shpg Ctr, Washington, IL 61571
- Phone
- (309) 886-2408
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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- Carle Health Illini WashingtonCertificate of Waiver, Physician office14D0874239
- Chapters Living of WashingtonCertificate of Waiver, Assisted living facility14D2334120
- Cvs/Pharmacy #06448Certificate of Waiver, Pharmacy14D2283943
- Osf Multi-Specialty GroupCertificate of Waiver, Physician office14D0431752
- Reflections Memory Care - WashingtonCertificate of Waiver, Assisted living facility14D2164994
- Supportive Living of WashingtonCertificate of Waiver, Assisted living facility14D2199445
- Villas of Holly Brook - WashingtonCertificate of Waiver, Assisted living facility14D2164979
Related
Questions
What is the CLIA number for Kroger Pharmacy 657 in Washington?
14D1076959, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy 657 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D1076959 expire?
The CMS file lists November 27, 2027 as the certificate expiration date; the certificate took effect November 28, 2025.