CLIA lab
CLIA 25D1088801: Kroger Pharmacy #493
Brandon, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D1088801 belongs to Kroger Pharmacy #493 in Brandon, MS.
Certificate of Waiver, effective September 4, 2026, expires September 3, 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
- September 4, 2026
- Certificate expiration
- September 3, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 4, 2008
- 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
- 25D1088801
- Lab name
- Kroger Pharmacy #493
- Address
- 1070 Spillway Circle, Brandon, MS 39047
- Phone
- (901) 765-4330
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.
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- Audrey and Home Healthcare Services LLCCertificate of Waiver, Other25D2344246
- Baptist Medical Group - Brandon Primary CareCertificate of Compliance, Physician office25D2053485
- Baptist Medical Group - Reservoir Primary CareCertificate of Compliance, Physician office25D2066399
- Brandon CourtCertificate of Waiver, Skilled nursing or nursing facility25D0975410
- Brandon Nursing and Rehabilitation CenterCertificate of Waiver, Skilled nursing or nursing facility25D0651816
- Brandon Renal CenterCertificate of Waiver, End stage renal disease dialysis facility25D0913953
- Castlewoods Place Assisted Living & Memory CareCertificate of Waiver, Assisted living facility25D2155752
- Chateau Pines Assisted LivingCertificate of Waiver, Assisted living facility25D2229433
- Community PlaceCertificate of Waiver, Skilled nursing or nursing facility25D0890581
Related
Questions
What is the CLIA number for Kroger Pharmacy #493 in Brandon?
25D1088801, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #493 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D1088801 expire?
The CMS file lists September 3, 2028 as the certificate expiration date; the certificate took effect September 4, 2026.