CLIA lab
CLIA 25D1021487: Kroger Pharmacy #454
Corinth, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D1021487 belongs to Kroger Pharmacy #454 in Corinth, 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
- 25D1021487
- Lab name
- Kroger Pharmacy #454
- Address
- 104 Hwy 72 West, Corinth, MS 38834
- Phone
- (662) 287-8304
- Fax
- (662) 287-8245
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 Corinth, MS
- Air-Evac 58Certificate of Waiver, Ambulance25D1087819
- Brooks Medical ClinicCertificate of Compliance, Physician office25D2154983
- Cardiology Associates of North MSCertificate of Waiver, Physician office25D2282513
- Caterpillar IncCertificate of Waiver, Industrial25D1065682
- Caterpillar Inc - Corinth MSCertificate of Waiver, Other25D2161550
- Caterpillar Inc - Corinth MS Harper RDCertificate of Waiver, Other25D2267330
- Caterpillar Inc - Corinth MS Legacy DRCertificate of Waiver, Other25D2267725
- Corinth Eye Clinic IncCertificate of Waiver, Physician office25D2062258
- Corinth Family Medical CenterCertificate of Waiver, Physician office25D1078297
- Corinth Pulmonary ClinicCertificate of Waiver, Physician office25D2103436
Related
Questions
What is the CLIA number for Kroger Pharmacy #454 in Corinth?
25D1021487, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #454 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D1021487 expire?
The CMS file lists January 22, 2028 as the certificate expiration date; the certificate took effect January 23, 2026.