CLIA lab
CLIA 14D2000588: Kroger Pharmacy L-711
Mount Vernon, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2000588 belongs to Kroger Pharmacy L-711 in Mount Vernon, IL.
Certificate of Waiver, effective December 3, 2025, expires December 2, 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
- December 3, 2025
- Certificate expiration
- December 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 3, 2009
- 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
- 14D2000588
- Lab name
- Kroger Pharmacy L-711
- Additional name
- The Kroger Company
- Address
- 415 S 42nd St, Mount Vernon, IL 62864
- Phone
- (618) 244-9660
- Fax
- (618) 244-9551
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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Related
Questions
What is the CLIA number for Kroger Pharmacy L-711 in Mount Vernon?
14D2000588, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy L-711 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2000588 expire?
The CMS file lists December 2, 2027 as the certificate expiration date; the certificate took effect December 3, 2025.