CLIA lab
CLIA 18D1077940: Kroger Pharmacy L-369
Campbellsville, KY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 18D1077940 belongs to Kroger Pharmacy L-369 in Campbellsville, KY.
Certificate of Waiver, effective December 21, 2025, expires December 20, 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 21, 2025
- Certificate expiration
- December 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 21, 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
- 18D1077940
- Lab name
- Kroger Pharmacy L-369
- Address
- 399CAMPBELLSVILLE By-Pass, Campbellsville, KY 42718
- Phone
- (270) 465-5782
- Fax
- (270) 789-1463
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Associates in DermatologyCertificate for Provider-Performed Microscopy Procedures, Physician office18D2122309
- Brightview, LLC - CampbellsvilleCertificate of Waiver, Physician office18D2226604
- Campbellsville Operating Company LLC D/B/ACertificate of Waiver, Skilled nursing or nursing facility18D0719404
- Campellsville Family MedicineCertificate of Waiver, Physician office18D0909437
- Commonwealth Pain Associates PLLCCertificate of Waiver, Physician office18D2192330
- Eastridge-Phelps PharmacyCertificate of Waiver, Pharmacy18D2163165
- Ep Medical LLCCertificate of Waiver, Pharmacy18D2316978
- Fast Pace Kentucky, PLLCCertificate of Waiver, Physician office18D2134768
Related
Questions
What is the CLIA number for Kroger Pharmacy L-369 in Campbellsville?
18D1077940, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy L-369 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 18D1077940 expire?
The CMS file lists December 20, 2027 as the certificate expiration date; the certificate took effect December 21, 2025.