15D0932535 CLIA NUMBER - KROGER PHARMACY #021-744

Laboratory Demographics

  • CLIA Code: 15D0932535
  • Facility Name: KROGER PHARMACY #021-744
  • Facility Address: 7450 FISHERS STATION DRIVE
    FISHERS, IN
    ZIP 46038
  • Facility Phone: 317 579-0209
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STACY DOYLE
  • NPI Number: 1558434076
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D0932535
LAB Type Pharmacy
Facility Name KROGER PHARMACY #021-744
Street 7450 FISHERS STATION DRIVE
City FISHERS
State IN
ZIP 46038
Phone 317 579-0209
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2025
Certificate Expiration Date 8/21/2027
Facility Type Pharmacy
Lab Director STACY DOYLE

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This page was last updated on: 9/29/2025