CLIA lab
CLIA 25D1038556: Kroger Pharmacy #490
Byram, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D1038556 belongs to Kroger Pharmacy #490 in Byram, MS.
Certificate of Waiver, effective March 22, 2025, expires March 21, 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
- March 22, 2025
- Certificate expiration
- March 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 22, 2005
- 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
- 25D1038556
- Lab name
- Kroger Pharmacy #490
- Address
- 6745 Siwell Road, Byram, MS 39272
- Phone
- (601) 863-2006
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Byram, MS
- Baptist Medical Group - Byram Primary CareCertificate of Compliance, Physician office25D0913024
- Edgewood Health and RehabCertificate of Waiver, Skilled nursing or nursing facility25D0680800
- Gary Road Elementary SchoolCertificate of Waiver, School or student health service25D1069211
- Gary Road Intermediate SchoolCertificate of Waiver, School or student health service25D2108609
- Mea Medical Clinic ByramCertificate of Compliance, Physician office25D0925214
- Mississippi Primary Care, LLCCertificate of Waiver, Other practitioner25D2334577
- Pediatrics Plus, LLCCertificate of Waiver, Other practitioner25D2305720
- Polk's Discount Drugs #6Certificate of Waiver, Pharmacy25D2182858
- Serenity Weight Loss and Wellness ClinicCertificate of Waiver, Community clinic25D2349355
- Southern Health AllianceCertificate of Waiver, Health fair25D2262883
Related
Questions
What is the CLIA number for Kroger Pharmacy #490 in Byram?
25D1038556, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #490 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D1038556 expire?
The CMS file lists March 21, 2027 as the certificate expiration date; the certificate took effect March 22, 2025.