CLIA lab

CLIA 23D2108065: Kroger Pharmacy

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

CLIA number 23D2108065 belongs to Kroger Pharmacy in Roseville, MI.

Certificate of Waiver, effective January 28, 2026, expires January 27, 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
January 28, 2026
Certificate expiration
January 27, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 28, 2016
Facility type
Pharmacy
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
23D2108065
Lab name
Kroger Pharmacy
Address
20891 E 13 Mile Road, Kroger Pharmacy 018-774 Attn Pharmacist In Charge, Roseville, MI 48066
Phone
(586) 298-1855
Fax
(586) 298-3857

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.

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Related

Questions

What is the CLIA number for Kroger Pharmacy in Roseville?

23D2108065, 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 23D2108065 expire?

The CMS file lists January 27, 2028 as the certificate expiration date; the certificate took effect January 28, 2026.

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