CLIA lab

CLIA 44D2029332: Kroger Pharmacy #489

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

CLIA number 44D2029332 belongs to Kroger Pharmacy #489 in Bartlett, TN.

Certificate of Waiver, effective September 6, 2025, expires September 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
September 6, 2025
Certificate expiration
September 5, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 6, 2011
Facility type
Other
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
44D2029332
Lab name
Kroger Pharmacy #489
Address
2942 Kirby Whitten, Bartlett, TN 38134
Phone
(901) 754-5124
Fax
(901) 751-7497

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 #489 in Bartlett?

44D2029332, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kroger Pharmacy #489 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 44D2029332 expire?

The CMS file lists September 5, 2027 as the certificate expiration date; the certificate took effect September 6, 2025.

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