CLIA lab
CLIA 25D1090846: Kroger Pharmacy #474
Clinton, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D1090846 belongs to Kroger Pharmacy #474 in Clinton, MS.
Certificate of Waiver, effective October 20, 2026, expires October 19, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- October 20, 2026
- Certificate expiration
- October 19, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 20, 2008
- Facility type
- Industrial
- 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
- 25D1090846
- Lab name
- Kroger Pharmacy #474
- Address
- 107 Hwy 80 East, Clinton, MS 39056
- Phone
- (601) 926-1955
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 Clinton, MS
- Baptist Medical Group - Clinton Primary CareCertificate of Compliance, Physician office25D0933303
- Brookdale Clinton Assisted Living and Memory CareCertificate of Waiver, Assisted living facility25D2194037
- CL Training InstituteCertificate of Waiver, Independent25D2325408
- Childrens Medical Group - ClintonCertificate of Compliance, Physician office25D0863139
- Clinton Family CareCertificate of Compliance, Physician office25D0994418
- Clinton Healthcare LLCCertificate of Waiver, Skilled nursing or nursing facility25D0877536
- Clinton TC LLCCertificate of Compliance, Physician office25D2166248
- Continental Tire, TrustcareCertificate of Waiver, Physician office25D2235286
- FMC West Hinds CountyCertificate of Waiver, End stage renal disease dialysis facility25D2120465
- Gordon Medical Arts ClinicCertificate of Waiver, Physician office25D2273330
Related
Questions
What is the CLIA number for Kroger Pharmacy #474 in Clinton?
25D1090846, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #474 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D1090846 expire?
The CMS file lists October 19, 2028 as the certificate expiration date; the certificate took effect October 20, 2026.