CLIA lab

CLIA 23D2113939: Kroger Pharmacy #864

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

CLIA number 23D2113939 belongs to Kroger Pharmacy #864 in Lambertville, MI.

Certificate of Waiver, effective June 3, 2026, expires June 2, 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
June 3, 2026
Certificate expiration
June 2, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 3, 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
23D2113939
Lab name
Kroger Pharmacy #864
Address
3462 W Sterns Road, Lambertville, MI 48144
Phone
(734) 854-2690

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 #864 in Lambertville?

23D2113939, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kroger Pharmacy #864 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 23D2113939 expire?

The CMS file lists June 2, 2028 as the certificate expiration date; the certificate took effect June 3, 2026.

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