CLIA lab

CLIA 44D1075104: Kroger Pharmacy #L-545

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

CLIA number 44D1075104 belongs to Kroger Pharmacy #L-545 in White House, TN.

Certificate of Waiver, effective October 12, 2025, expires October 11, 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
October 12, 2025
Certificate expiration
October 11, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 12, 2007
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
44D1075104
Lab name
Kroger Pharmacy #L-545
Address
510 Highway 76 East, White House, TN 37188
Phone
(615) 672-3905
Fax
(615) 672-4210

Annual test volume the lab reported

Waived tests
250

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-545 in White House?

44D1075104, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kroger Pharmacy #L-545 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 44D1075104 expire?

The CMS file lists October 11, 2027 as the certificate expiration date; the certificate took effect October 12, 2025.

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