CLIA lab
CLIA 23D2076893: The Kroger Co of Michigan
South Lyon, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2076893 belongs to The Kroger Co of Michigan in South Lyon, MI.
Certificate of Waiver, effective April 29, 2026, expires April 28, 2028.
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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 29, 2026
- Certificate expiration
- April 28, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 29, 2014
- 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
- 23D2076893
- Lab name
- The Kroger Co of Michigan
- Address
- 20730 Pontiac Trail, Kroger Pharmacy 018-639 Attn Pharmacist In Charge, South Lyon, MI 48178
- Phone
- (248) 486-9182
- Fax
- (248) 486-9127
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.
Other labs in South Lyon, MI
- Advance Urgent Care & Walk-In ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office23D1078054
- Henry Ford Medical Center - South LyonCertificate of Waiver, Physician office23D0859324
- One Health South LyonCertificate of Waiver, Physician office23D2018753
- Rushton Recovery LLCCertificate of Waiver, Other23D2301951
- South Lyon Family Doc'sCertificate for Provider-Performed Microscopy Procedures, Physician office23D1092999
- South Lyon Foot & Ankle SpecialistsCertificate of Waiver, Physician office23D1033020
- South Lyon Senior Care and Rehab Center LLCCertificate of Waiver, Skilled nursing or nursing facility23D0670003
- The Wellness Drip, PLLCCertificate of Waiver, Other23D2313726
- Trinity Health Iha Medical Group Primary CareCertificate of Waiver, Physician office23D2157067
- Trinity Health Iha Urgent CareCertificate of Waiver, Community clinic23D2158012
Related
Questions
What is the CLIA number for The Kroger Co of Michigan in South Lyon?
23D2076893, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does The Kroger Co of Michigan hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D2076893 expire?
The CMS file lists April 28, 2028 as the certificate expiration date; the certificate took effect April 29, 2026.