CLIA lab
CLIA 23D2076980: Kroger Pharmacy
Jackson, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2076980 belongs to Kroger Pharmacy in Jackson, MI.
Certificate of Waiver, effective April 30, 2026, expires April 29, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 30, 2026
- Certificate expiration
- April 29, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 30, 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
- 23D2076980
- Lab name
- Kroger Pharmacy
- Address
- 1100 Argyle, Kroger Pharmacy 018-680 Attn Pharmacist In Charge, Jackson, MI 49202
- Phone
- (517) 788-5476
- Fax
- (517) 788-9666
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.
Other labs in Jackson, MI
- Arthur R Vendola, MDCertificate of Waiver, Physician office23D0971794
- Beacon Home at CascadesCertificate of Waiver, Other23D2159376
- Beacon Home at County FarmCertificate of Waiver, Other23D2182616
- Beacon Home at JacksonCertificate of Waiver, Other23D2159366
- Beacon Home at SheffieldCertificate of Waiver, Other23D2191084
- Blackman - Leoni DPSCertificate of Waiver, Other23D2219091
- Blake Woods Medical Park Surgery CenterCertificate of Waiver, Ambulatory surgery center23D0925941
- Brad Kremer PLLCCertificate of Waiver, Physician office23D2116926
- CSL Plasma, IncCertificate of Compliance, Other23D2153139
- Care That Matters Home Health Care LLCCertificate of Waiver, Home health agency23D2302759
Related
Questions
What is the CLIA number for Kroger Pharmacy in Jackson?
23D2076980, 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 23D2076980 expire?
The CMS file lists April 29, 2028 as the certificate expiration date; the certificate took effect April 30, 2026.