CLIA lab

CLIA 45D1057966: Kroger Pharmacy 516

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

CLIA number 45D1057966 belongs to Kroger Pharmacy 516 in Keller, TX.

Certificate of Waiver, effective August 25, 2026, expires August 24, 2028.

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
August 25, 2026
Certificate expiration
August 24, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 25, 2006
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
45D1057966
Lab name
Kroger Pharmacy 516
Address
976 Price (hwy 1709), Keller, TX 76248
Phone
(817) 431-5178
Fax
(817) 431-5197

Annual test volume the lab reported

Waived tests
500

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 516 in Keller?

45D1057966, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kroger Pharmacy 516 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 45D1057966 expire?

The CMS file lists August 24, 2028 as the certificate expiration date; the certificate took effect August 25, 2026.

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