CLIA lab
CLIA 25D1021490: Kroger Pharmacy #449
Richland, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D1021490 belongs to Kroger Pharmacy #449 in Richland, 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
- 25D1021490
- Lab name
- Kroger Pharmacy #449
- Address
- 1167 Hwy 49 South, Richland, MS 39218
- Phone
- (601) 664-0602
- Fax
- (601) 664-0602
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 Richland, MS
- Apac - MississippiCertificate of Waiver, Industrial25D2338549
- Baptist Medical Group - Richland Primary CareCertificate of Compliance, Physician office25D2129753
- Children's Medical Group-RichlandCertificate of Compliance, Physician office25D2307765
- Fast Pace Mississippi, PLLCCertificate of Waiver, Physician office25D2205169
- Mea Medical Clinic-RichlandCertificate of Compliance, Physician office25D0964468
- Merit Health Richland Primary CareCertificate of Waiver, Physician office25D0029882
- Rankin Rural Medical ClinicCertificate of Waiver, Rural health clinic25D2046590
- ST Joseph Hospice of West Mississippi LLCCertificate of Waiver, Hospice25D2219334
- Walmart Pharmacy 10-2939Certificate of Waiver, Pharmacy25D2140076
- Workforce Health AllianceCertificate for Provider-Performed Microscopy Procedures, Other25D2181605
Related
Questions
What is the CLIA number for Kroger Pharmacy #449 in Richland?
25D1021490, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #449 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D1021490 expire?
The CMS file lists January 22, 2028 as the certificate expiration date; the certificate took effect January 23, 2026.