CLIA lab

CLIA 44D1040916: Kroger Pharmacy L-541

Goodlettsville, TN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 44D1040916 belongs to Kroger Pharmacy L-541 in Goodlettsville, TN.

Certificate of Waiver, effective May 20, 2025, expires May 19, 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
May 20, 2025
Certificate expiration
May 19, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 20, 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
44D1040916
Lab name
Kroger Pharmacy L-541
Address
123 Northcreek Blvd, Goodlettsville, TN 37072
Phone
(615) 859-1080
Fax
(615) 859-6205

Annual test volume the lab reported

Waived tests
400

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Kroger Pharmacy L-541 in Goodlettsville?

44D1040916, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kroger Pharmacy L-541 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 44D1040916 expire?

The CMS file lists May 19, 2027 as the certificate expiration date; the certificate took effect May 20, 2025.

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