CLIA lab
CLIA 23D2077032: Kroger Pharmacy
Southgate, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2077032 belongs to Kroger Pharmacy in Southgate, 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
- 23D2077032
- Lab name
- Kroger Pharmacy
- Address
- 16705 Fort Street, Kroger Pharmacy 018-775 Attn Pharmacist In Charge, Southgate, MI 48195
- Phone
- (734) 324-7966
- Fax
- (734) 324-7970
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.
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- Amc Primary Care & Consultants PLLCCertificate of Waiver, Physician office23D2308626
- Axiom Hospice LLCCertificate of Waiver, Hospice23D2278672
- Bioscript Pharmacy Mi LLCCertificate of Waiver, Pharmacy23D2272985
- Care First Homecare LLCCertificate of Waiver, Home health agency23D1093255
- Castleman Surgery CenterCertificate of Waiver, Ambulatory surgery center23D0868421
- Child & Adolescent Center, P CCertificate of Waiver, Physician office23D0369176
- City Medical PCCertificate of Waiver, Physician office23D0998952
- Corewell Health Children's PediatricsCertificate of Waiver, Physician office23D2144958
Related
Questions
What is the CLIA number for Kroger Pharmacy in Southgate?
23D2077032, 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 23D2077032 expire?
The CMS file lists April 29, 2028 as the certificate expiration date; the certificate took effect April 30, 2026.