CLIA lab

CLIA 18D1077163: Kroger Pharmacy #392

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

CLIA number 18D1077163 belongs to Kroger Pharmacy #392 in Latonia, KY.

Certificate of Waiver, effective December 4, 2025, expires December 3, 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 4, 2025
Certificate expiration
December 3, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 4, 2007
Facility type
Other
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
18D1077163
Lab name
Kroger Pharmacy #392
Address
4303 Winston Avenue, Latonia, KY 41015
Phone
(859) 655-0720
Fax
(859) 655-0784

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 #392 in Latonia?

18D1077163, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kroger Pharmacy #392 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 18D1077163 expire?

The CMS file lists December 3, 2027 as the certificate expiration date; the certificate took effect December 4, 2025.

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