CLIA lab

CLIA 45D1095407: Kroger Pharmacy 879

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

CLIA number 45D1095407 belongs to Kroger Pharmacy 879 in The Colony, TX.

Certificate of Waiver, effective February 6, 2025, expires February 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
February 6, 2025
Certificate expiration
February 5, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 6, 2009
Facility type
Industrial
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
45D1095407
Lab name
Kroger Pharmacy 879
Address
6805 N Main Street, The Colony, TX 75056
Phone
(972) 370-1006
Fax
(972) 625-0948

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.

Other labs in The Colony, TX

Related

Questions

What is the CLIA number for Kroger Pharmacy 879 in The Colony?

45D1095407, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kroger Pharmacy 879 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 45D1095407 expire?

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

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