CLIA lab
CLIA 23D1101953: Kroger Pharmacy
Walled Lake, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D1101953 belongs to Kroger Pharmacy in Walled Lake, MI.
Certificate of Waiver, effective July 8, 2025, expires July 7, 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
- July 8, 2025
- Certificate expiration
- July 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 8, 2009
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 6
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 23D1101953
- Lab name
- Kroger Pharmacy
- Address
- 47060 Pontiac Trail, Kroger Pharmacy 018-634 Attn Pharmacist In Charge, Walled Lake, MI 48390
- Phone
- (248) 960-8297
- Fax
- (248) 960-8788
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Walled Lake, MI
- Advanced Care Center PLLCCertificate of Waiver, Physician office23D2320986
- Advanced Urgent Care CenterCertificate of Waiver, Physician office23D2345592
- Alaa Primary Care P L L CCertificate of Waiver, Physician office23D2270948
- Alliance HealthCertificate of Waiver, Physician office23D0372738
- City of Walled LakeCertificate of Waiver, Ambulance23D1096479
- Hypertension Nephrology Associates, P CCertificate for Provider-Performed Microscopy Procedures, Physician office23D2276857
- Minuteclinic Diagnostic of Michigan, PCCertificate of Waiver, Other23D1055307
- Minuteclinic Primary Care Michigan, PLLC #28372Certificate of Waiver, Other23D2323594
- Oakland Pediatrics, PLCCertificate of Waiver, Physician office23D0983415
- Pillay Internal Medicine Associates PCCertificate of Waiver, Physician office23D1024399
Related
Questions
What is the CLIA number for Kroger Pharmacy in Walled Lake?
23D1101953, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D1101953 expire?
The CMS file lists July 7, 2027 as the certificate expiration date; the certificate took effect July 8, 2025.