CLIA lab
CLIA 25D1021483: Kroger Pharmacy #471
Tupelo, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D1021483 belongs to Kroger Pharmacy #471 in Tupelo, MS.
Certificate of Waiver, effective January 23, 2026, expires January 22, 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 23, 2026
- Certificate expiration
- January 22, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 23, 2004
- 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
- 25D1021483
- Lab name
- Kroger Pharmacy #471
- Address
- 960 West Main Street, Tupelo, MS 38801
- Phone
- (662) 840-8559
- Fax
- (662) 840-8730
Annual test volume the lab reported
- Waived tests
- 3,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Tupelo, MS
- Access Family Health Services-Tupelo Medical CliniCertificate of Waiver, Federally qualified health center25D1084914
- Arden of North Mississippi LLCCertificate of Waiver, Hospice25D1056190
- Auburn Family Medical ClinicCertificate of Waiver, Other practitioner25D0969132
- Baptist Memorial Medical Group, Inc - EmcCertificate of Compliance, Physician office25D2024272
- Cadence Bank Health CenterCertificate for Provider-Performed Microscopy Procedures, Other25D2170838
- Cardiology Associates of North MSCertificate of Compliance, Physician office25D0948913
- Cedars Health CenterCertificate of Waiver, Skilled nursing or nursing facility25D0913965
- Center for Digestive HealthCertificate of Waiver, Other25D0991814
- Chadwick Clinic, theCertificate of Waiver, Other practitioner25D2265862
- Community Hospice LLC DBA Community HospiceCertificate of Waiver, Hospice25D2113726
Related
Questions
What is the CLIA number for Kroger Pharmacy #471 in Tupelo?
25D1021483, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #471 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D1021483 expire?
The CMS file lists January 22, 2028 as the certificate expiration date; the certificate took effect January 23, 2026.