CLIA lab
CLIA 45D1058730: Kroger Pharmacy 383
Bryan, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D1058730 belongs to Kroger Pharmacy 383 in Bryan, TX.
Certificate of Waiver, effective September 14, 2026, expires September 13, 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
- September 14, 2026
- Certificate expiration
- September 13, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 14, 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
- 45D1058730
- Lab name
- Kroger Pharmacy 383
- Address
- 2303 Booneville Rd, Bryan, TX 77808
- Phone
- (979) 774-8377
- Fax
- (979) 774-8362
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.
Other labs in Bryan, TX
- Aevia Health & Wellness PLLCCertificate of Waiver, Other practitioner45D2338571
- BCS PharmacyCertificate of Waiver, Pharmacy45D2205788
- Baylor Scott & White Clinic-Certificate for Provider-Performed Microscopy Procedures, Physician office45D2130337
- Baylor Scott & White Clinic- Bryan BoonvilleCertificate of Waiver, Physician office45D2052907
- Baylor Scott & White Clinic-Bryan Blinn BoulevardCertificate for Provider-Performed Microscopy Procedures, Physician office45D2132083
- Baylor Scott & White Clinic-Bryan RoadCertificate for Provider-Performed Microscopy Procedures, Physician office45D2151603
- Biomat USA, IncCertificate of Accreditation, Other45D0956646
- Brazos County Detention CenterCertificate of Waiver, Other45D2323931
- Brazos County Health DistrictCertificate of Compliance, Public health laboratory45D0667597
- Brazos County Health and Wellness ClinicCertificate of Waiver, Community clinic45D2138979
Related
Questions
What is the CLIA number for Kroger Pharmacy 383 in Bryan?
45D1058730, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy 383 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D1058730 expire?
The CMS file lists September 13, 2028 as the certificate expiration date; the certificate took effect September 14, 2026.