CLIA lab
CLIA 51D1075301: Kroger Pharmacy #029-734
Rainelle, WV. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 51D1075301 belongs to Kroger Pharmacy #029-734 in Rainelle, WV.
Certificate of Waiver, effective October 17, 2025, expires October 16, 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
- October 17, 2025
- Certificate expiration
- October 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 17, 2007
- 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
- 51D1075301
- Lab name
- Kroger Pharmacy #029-734
- Address
- 406 Raine Dr, Rainelle, WV 25962
- Phone
- (304) 438-7182
- Fax
- (304) 438-7198
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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Related
Questions
What is the CLIA number for Kroger Pharmacy #029-734 in Rainelle?
51D1075301, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #029-734 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 51D1075301 expire?
The CMS file lists October 16, 2027 as the certificate expiration date; the certificate took effect October 17, 2025.