15D0987837 CLIA NUMBER - KROGER PHARMACY 959

Laboratory Demographics

  • CLIA Code: 15D0987837
  • Facility Name: KROGER PHARMACY 959
  • Facility Address: 1217 S RANGELINE ROAD
    CARMEL, IN
    ZIP 46032
  • Facility Phone: 317 843-4431
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SYDNEY SNYDER
  • NPI Number: 1922171446
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D0987837
LAB Type Pharmacy
Facility Name KROGER PHARMACY 959
Street 1217 S RANGELINE ROAD
City CARMEL
State IN
ZIP 46032
Phone 317 843-4431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2025
Certificate Expiration Date 6/13/2027
Facility Type Pharmacy
Lab Director SYDNEY SNYDER

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