CLIA lab
CLIA 51D1094910: Kroger Pharmacy # 316
Princeton, WV. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 51D1094910 belongs to Kroger Pharmacy # 316 in Princeton, WV.
Certificate of Waiver, effective January 29, 2025, expires January 28, 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
- January 29, 2025
- Certificate expiration
- January 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 29, 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
- 51D1094910
- Lab name
- Kroger Pharmacy # 316
- Address
- 1229 Stafford Drive, Princeton, WV 24740
- Phone
- (304) 487-1155
- Fax
- (304) 487-1991
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Brandon M Lingenfelter DO PHDCertificate of Compliance, Physician office51D2119195
- Camc Primary Care PrincetonCertificate of Waiver, Physician office51D2241294
- Church Lane Group HomeCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities51D1044021
- DRS Brock, Henderson, Diprisco, Ravelo & GreenCertificate of Waiver, Ambulatory surgery center51D2292349
- Derm One, PLLCCertificate of Waiver, Physician office51D2161261
- Dermatology Associates & Surgery CenterCertificate of Compliance, Physician office51D2013929
- Doctors ImmedicareCertificate of Waiver, Physician office51D2177106
Related
Questions
What is the CLIA number for Kroger Pharmacy # 316 in Princeton?
51D1094910, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy # 316 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 51D1094910 expire?
The CMS file lists January 28, 2027 as the certificate expiration date; the certificate took effect January 29, 2025.