CLIA lab

CLIA 23D2087497: Kroger Pharmacy

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

CLIA number 23D2087497 belongs to Kroger Pharmacy in Hazel Park, MI.

Certificate of Waiver, effective November 25, 2024, expires November 24, 2026.

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
November 25, 2024
Certificate expiration
November 24, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 25, 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
23D2087497
Lab name
Kroger Pharmacy
Address
23101 John R Road, Kroger Pharmacy 018-447 Attn Pharmacist In Charge, Hazel Park, MI 48030
Phone
(513) 762-1263
Fax
(513) 762-1092

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 Hazel Park, MI

Related

Questions

What is the CLIA number for Kroger Pharmacy in Hazel Park?

23D2087497, 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 23D2087497 expire?

The CMS file lists November 24, 2026 as the certificate expiration date; the certificate took effect November 25, 2024.

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