CLIA lab

CLIA 45D2001583: Kroger Pharmacy 448

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

CLIA number 45D2001583 belongs to Kroger Pharmacy 448 in Coppell, TX.

Certificate of Waiver, effective December 22, 2025, expires December 21, 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
December 22, 2025
Certificate expiration
December 21, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 22, 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
45D2001583
Lab name
Kroger Pharmacy 448
Address
950 E Sandy Lake Road, Coppell, TX 75019
Phone
(972) 304-0823
Fax
(972) 462-7904

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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Questions

What is the CLIA number for Kroger Pharmacy 448 in Coppell?

45D2001583, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kroger Pharmacy 448 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 45D2001583 expire?

The CMS file lists December 21, 2027 as the certificate expiration date; the certificate took effect December 22, 2025.

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