CLIA lab
CLIA 51D1058117: Kroger Pharmacy #977
Moundsville, WV. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 51D1058117 belongs to Kroger Pharmacy #977 in Moundsville, WV.
Certificate of Waiver, effective August 30, 2026, expires August 29, 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
- August 30, 2026
- Certificate expiration
- August 29, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 30, 2006
- 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
- 51D1058117
- Lab name
- Kroger Pharmacy #977
- Address
- 1300 Lafayette Avenue, Moundsville, WV 26041
- Phone
- (304) 845-8298
- Fax
- (304) 845-0282
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 Moundsville, WV
- Floral Leasing Co, LLCCertificate of Waiver, Skilled nursing or nursing facility51D0235778
- Limestone Regional Emergency Service IncCertificate of Waiver, Ambulance51D2178644
- Marshall County Health DeptCertificate of Waiver, Other51D0696863
- Moundsville PharmacyCertificate of Waiver, Pharmacy51D0915392
- Northern Regional JailCertificate of Waiver, Other51D1013039
- RMH Glen Dale PedsCertificate of Waiver, Physician office51D2130409
- Rem West VirginiaCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities51D1050590
- Reynolds Memorial HospitalCertificate of Waiver, Physician office51D2327805
- Reynolds Rapid CareCertificate of Waiver, Physician office51D2097181
- Walmart Pharmacy #10-2852Certificate of Waiver, Pharmacy51D2146101
Related
Questions
What is the CLIA number for Kroger Pharmacy #977 in Moundsville?
51D1058117, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #977 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 51D1058117 expire?
The CMS file lists August 29, 2028 as the certificate expiration date; the certificate took effect August 30, 2026.