CLIA lab
CLIA 14D1076963: Kroger Pharmacy J-923
Pekin, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D1076963 belongs to Kroger Pharmacy J-923 in Pekin, 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
- 14D1076963
- Lab name
- Kroger Pharmacy J-923
- Address
- 1607 Broadway, Pekin, IL 61554
- Phone
- (309) 353-5333
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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- Fci/Fpc Pekin Health ServicesCertificate of Waiver, Other14D0912146
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- Illinois Cancercare - PekinCertificate of Waiver, Physician office14D2147737
- Optimum Health Chiropractic & Acupuncture LTDCertificate of Waiver, Other practitioner14D2040577
Related
Questions
What is the CLIA number for Kroger Pharmacy J-923 in Pekin?
14D1076963, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy J-923 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D1076963 expire?
The CMS file lists November 27, 2027 as the certificate expiration date; the certificate took effect November 28, 2025.