CLIA lab

CLIA 23D1101958: Kroger Co of Michigan, the

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

CLIA number 23D1101958 belongs to Kroger Co of Michigan, the in Roseville, 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
Other
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
23D1101958
Lab name
Kroger Co of Michigan, the
Address
30851 Gratiot Road, Kroger Pharmacy 018-455 Attn Pharmacist In Charge, Roseville, MI 48066
Phone
(586) 541-3314
Fax
(586) 541-3320

Annual test volume the lab reported

Waived tests
100

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Roseville, MI

Related

Questions

What is the CLIA number for Kroger Co of Michigan, the in Roseville?

23D1101958, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kroger Co of Michigan, the hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 23D1101958 expire?

The CMS file lists July 7, 2027 as the certificate expiration date; the certificate took effect July 8, 2025.

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