CLIA lab
CLIA 23D2077073: Kroger Pharmacy
Grosse Pointe Woods, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2077073 belongs to Kroger Pharmacy in Grosse Pointe Woods, 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
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 23D2077073
- Lab name
- Kroger Pharmacy
- Address
- 20422 Mack Avenue, Kroger Pharmacy 018-454 Attn Pharmacist In Charge, Grosse Pointe Woods, MI 48236
- Phone
- (313) 308-1033
- Fax
- (313) 307-1034
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.
Affiliated CLIA numbers
Other labs in Grosse Pointe Woods, MI
- Emcura Immediate Care Grosse Pointe WoodsCertificate of Waiver, Physician office23D2263582
- Ferrara Dermatology ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office23D0695096
- Henry Ford Health ST John HospitalCertificate of Accreditation, Independent23D0662603
- Henry Ford Hematology Oncology PathologyCertificate of Accreditation, Ancillary test site23D0370395
- Henry Ford Internal Medicine - Grosse Pointe WoodsCertificate of Waiver, Physician office23D0865479
- I E P Urgent Care Grosse PointeCertificate of Waiver, Other23D2256242
- James M Landers MD PLCCertificate of Waiver, Physician office23D0672508
- Lisa A Manz Dulac, MD Associates PCCertificate for Provider-Performed Microscopy Procedures, Physician office23D0916007
- Rivers of Grosse Pointe Skilled Nursing FacilityCertificate of Waiver, Skilled nursing or nursing facility23D2094325
- Robin Samyn, MD PLLCCertificate of Waiver, Physician office23D2271351
Related
Questions
What is the CLIA number for Kroger Pharmacy in Grosse Pointe Woods?
23D2077073, 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 23D2077073 expire?
The CMS file lists April 29, 2028 as the certificate expiration date; the certificate took effect April 30, 2026.