CLIA lab
CLIA 25D1021486: Kroger Pharmacy #478
Hernando, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D1021486 belongs to Kroger Pharmacy #478 in Hernando, MS.
Certificate of Waiver, effective October 25, 2025, expires October 24, 2027.
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
- October 25, 2025
- Certificate expiration
- October 24, 2027
- 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
- 25D1021486
- Lab name
- Kroger Pharmacy #478
- Address
- 2380 Mt Pleasant, Hernando, MS 38632
- Phone
- (662) 429-5327
- Fax
- (662) 429-6783
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 Hernando, MS
- All Children's Clinic - HernandoCertificate of Compliance, Physician office25D2189260
- Bagwell Medical ClinicCertificate of Compliance, Physician office25D2058044
- Bagwell Medical Clinic EastCertificate of Compliance, Physician office25D1107141
- City of Hernando Fire & EMSCertificate of Waiver, Ambulance25D2255465
- Davis Family Medical & Express CareCertificate of Waiver, Physician office25D2306918
- Desoto County Adult Detention FacilityCertificate of Waiver, Prison25D2241543
- Eudora Medical Center, LLCCertificate of Waiver, Other practitioner25D2274549
- Family Care ClinicCertificate of Waiver, Other practitioner25D2328358
- Funderburk's PharmacyCertificate of Waiver, Pharmacy25D0942356
- Health Connect America, IncCertificate of Waiver, Other25D2302849
Related
Questions
What is the CLIA number for Kroger Pharmacy #478 in Hernando?
25D1021486, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #478 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D1021486 expire?
The CMS file lists October 24, 2027 as the certificate expiration date; the certificate took effect October 25, 2025.