CLIA lab
CLIA 25D1021498: Kroger Pharmacy #453
Horn Lake, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D1021498 belongs to Kroger Pharmacy #453 in Horn Lake, 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
- 25D1021498
- Lab name
- Kroger Pharmacy #453
- Address
- 7251 Interstate Blvd, Horn Lake, MS 38637
- Phone
- (662) 349-8336
- Fax
- (662) 349-8337
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 Horn Lake, MS
- Convenient Care Clinic, LLCCertificate of Waiver, Physician office25D2065252
- Essential Health and Wellness Clinic, PACertificate of Waiver, Rural health clinic25D2191238
- Horn Lake Family PracticeCertificate of Compliance, Physician office25D0937074
- Join Parachute - Horn LakeCertificate of Accreditation, Other25D2191219
- Kroger Pharmacy #499Certificate of Waiver, Pharmacy25D2029470
- Landmark of DesotoCertificate of Waiver, Skilled nursing or nursing facility25D0986875
- Newsom Healthcare of Desoto County, LLCCertificate for Provider-Performed Microscopy Procedures, Community clinic25D1089399
- Phlebotomy SolutionsCertificate of Waiver, Mobile lab44D1031332
- Salve Family Health PCCertificate of Waiver, Physician office25D2349960
- Superior Health and WellnessCertificate of Waiver, Physician office25D2090287
Related
Questions
What is the CLIA number for Kroger Pharmacy #453 in Horn Lake?
25D1021498, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #453 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D1021498 expire?
The CMS file lists January 22, 2028 as the certificate expiration date; the certificate took effect January 23, 2026.