15D0969770 CLIA NUMBER - KROGER PHARMACY #021-215

Laboratory Demographics

  • CLIA Code: 15D0969770
  • Facility Name: KROGER PHARMACY #021-215
  • Facility Address: 975 N GREEN STREET
    BROWNSBURG, IN
    ZIP 46112
  • Facility Phone: 317 852-3340
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STACY A. DOYLE
  • NPI Number: 1851464473
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D0969770
LAB Type Pharmacy
Facility Name KROGER PHARMACY #021-215
Street 975 N GREEN STREET
City BROWNSBURG
State IN
ZIP 46112
Phone 317 852-3340
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2024
Certificate Expiration Date 1/24/2026
Facility Type Pharmacy
Lab Director STACY A. DOYLE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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