CLIA lab
CLIA 25D1021491: Kroger Pharmacy #370
Cleveland, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D1021491 belongs to Kroger Pharmacy #370 in Cleveland, 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
- 25D1021491
- Lab name
- Kroger Pharmacy #370
- Address
- 602 North Davis, Cleveland, MS 38732
- Phone
- (662) 843-0835
- Fax
- (662) 843-0836
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 Cleveland, MS
- Adoration HospiceCertificate of Waiver, Hospice25D2202360
- Bolivar Medical Center - Radiology DepartmentCertificate of Waiver, Hospital25D2292788
- Bolivar Medical Center Long Term CareCertificate of Waiver, Skilled nursing or nursing facility25D2193416
- Bolivar Phys Pract DBA Cleveland Medical ClinicCertificate of Compliance, Physician office25D0316773
- Bolivar Physician's PracticesCertificate of Compliance, Physician office25D0949390
- Cleveland Children's Clinic, PLLCCertificate of Waiver, Physician office25D2111970
- Cleveland Community Care CenterCertificate of Waiver, Skilled nursing or nursing facility25D0672186
- Cleveland School DistrictCertificate of Waiver, School or student health service25D2121442
- D & F Medical Consulting LLC DBA Dynamic WellnessCertificate of Waiver, Physician office25D2177887
- Delta Rehabilitation and Healthcare CenterCertificate of Waiver, Skilled nursing or nursing facility25D0890847
Related
Questions
What is the CLIA number for Kroger Pharmacy #370 in Cleveland?
25D1021491, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #370 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D1021491 expire?
The CMS file lists January 22, 2028 as the certificate expiration date; the certificate took effect January 23, 2026.