CLIA lab
CLIA 44D1076143: Kroger Pharmacy 25-398
Jackson, TN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 44D1076143 belongs to Kroger Pharmacy 25-398 in Jackson, TN.
Certificate of Waiver, effective November 6, 2025, expires November 5, 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
- November 6, 2025
- Certificate expiration
- November 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 6, 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
- 44D1076143
- Lab name
- Kroger Pharmacy 25-398
- Address
- 941 North Parkway, Jackson, TN 38305
- Phone
- (731) 423-4904
- Fax
- (731) 423-4914
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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Related
Questions
What is the CLIA number for Kroger Pharmacy 25-398 in Jackson?
44D1076143, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy 25-398 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 44D1076143 expire?
The CMS file lists November 5, 2027 as the certificate expiration date; the certificate took effect November 6, 2025.