CLIA lab

CLIA 25D1021484: Kroger Pharmacy #492

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

CLIA number 25D1021484 belongs to Kroger Pharmacy #492 in Madison, 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
25D1021484
Lab name
Kroger Pharmacy #492
Address
1070 Hwy 51, Madison, MS 39110
Phone
(513) 698-1878
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.

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Related

Questions

What is the CLIA number for Kroger Pharmacy #492 in Madison?

25D1021484, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kroger Pharmacy #492 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 25D1021484 expire?

The CMS file lists January 22, 2028 as the certificate expiration date; the certificate took effect January 23, 2026.

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