CLIA lab
CLIA 44D2000925: Kroger Pharmacy L-590
Mount Juliet, TN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 44D2000925 belongs to Kroger Pharmacy L-590 in Mount Juliet, TN.
Certificate of Waiver, effective December 9, 2025, expires December 8, 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
- December 9, 2025
- Certificate expiration
- December 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 9, 2009
- 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
- 44D2000925
- Lab name
- Kroger Pharmacy L-590
- Address
- 4120 N Mt Juliet Rd, Mount Juliet, TN 37122
- Phone
- (615) 773-8703
- Fax
- (615) 773-8704
Annual test volume the lab reported
- Waived tests
- 300
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-590 in Mount Juliet?
44D2000925, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy L-590 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 44D2000925 expire?
The CMS file lists December 8, 2027 as the certificate expiration date; the certificate took effect December 9, 2025.