CLIA lab

CLIA 45D2069754: Kroger Pharmacy #579

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

CLIA number 45D2069754 belongs to Kroger Pharmacy #579 in Forney, TX.

Certificate of Waiver, effective December 3, 2025, expires December 2, 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 3, 2025
Certificate expiration
December 2, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 3, 2013
Facility type
Other
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
45D2069754
Lab name
Kroger Pharmacy #579
Additional name
Attn Pharmacist in Charge
Address
500 Marketplace Blvd, Forney, TX 75126
Phone
(713) 507-6276
Fax
(936) 442-6704

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.

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Questions

What is the CLIA number for Kroger Pharmacy #579 in Forney?

45D2069754, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kroger Pharmacy #579 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 45D2069754 expire?

The CMS file lists December 2, 2027 as the certificate expiration date; the certificate took effect December 3, 2025.

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