CLIA lab
CLIA 45D1094857: Kroger Pharmacy 389
Magnolia, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D1094857 belongs to Kroger Pharmacy 389 in Magnolia, TX.
Certificate of Waiver, effective January 28, 2025, expires January 27, 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
- January 28, 2025
- Certificate expiration
- January 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 28, 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
- 45D1094857
- Lab name
- Kroger Pharmacy 389
- Address
- 6616 FM 1488, Magnolia, TX 77355
- Phone
- (936) 321-9870
- Fax
- (936) 321-9872
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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- America's ER Site 001, LLCCertificate of Accreditation, Other45D2071757
- Baylor ST Luke's Medical Group- Magnolia PrimaryCertificate of Waiver, Physician office45D2334668
- Bio-Medical Applications of Texas, Inc DBACertificate of Waiver, End stage renal disease dialysis facility45D2120425
- Childrens Speciality Care ClinicCertificate of Waiver, Physician office45D1034798
- Chosen Pediatrics Care Par Excellence, PLLCCertificate of Waiver, Physician office45D2271162
- Davam Family MedicineCertificate of Waiver, Physician office45D2291261
- Davam Urgent CareCertificate of Accreditation, Other45D2075862
- Heb Pharmacy #767Certificate of Waiver, Pharmacy45D2271478
- Heb Pharmacy 722Certificate of Waiver, Pharmacy45D2115307
- Heights of Magnolia, theCertificate of Waiver, Skilled nursing or nursing facility45D2319859
Related
Questions
What is the CLIA number for Kroger Pharmacy 389 in Magnolia?
45D1094857, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy 389 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D1094857 expire?
The CMS file lists January 27, 2027 as the certificate expiration date; the certificate took effect January 28, 2025.