CLIA lab
CLIA 45D2120762: Kroger Pharmacy #574
Rockwall, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2120762 belongs to Kroger Pharmacy #574 in Rockwall, TX.
Certificate of Waiver, effective October 24, 2026, expires October 23, 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
- October 24, 2026
- Certificate expiration
- October 23, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 24, 2016
- 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
- 45D2120762
- Lab name
- Kroger Pharmacy #574
- Address
- 1950 Goliad ST5REET, Rockwall, TX 75087
- Phone
- (713) 507-6276
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 Rockwall, TX
- Aegis Home Health, IncCertificate of Waiver, Home health agency45D1028993
- American Home CareCertificate of Waiver, Home health agency45D0958103
- Any Lab Test Now of RockwallCertificate of Waiver, Other45D2148666
- BSW the Heart Hospital Outpatient Services -Certificate of Accreditation, Ancillary test site45D2294986
- Bare Derm Group, IncCertificate of Compliance, Physician office45D2275994
- Baylor Scott & White Family Medical CenterCertificate of Waiver, Physician office45D0477917
- Baylor Scott & White Imaging Center RockwallCertificate of Waiver, Ancillary test site45D2085611
- Baylor Scott & White Obstetrics & GynecologyCertificate of Waiver, Physician office45D2075876
- Beacon Harbor Healthcare and RehabilitationCertificate of Waiver, Skilled nursing or nursing facility45D0919588
- Broadmoor Medical LodgeCertificate of Waiver, Skilled nursing or nursing facility45D2051807
Related
Questions
What is the CLIA number for Kroger Pharmacy #574 in Rockwall?
45D2120762, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #574 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D2120762 expire?
The CMS file lists October 23, 2028 as the certificate expiration date; the certificate took effect October 24, 2026.