15D1006755 CLIA NUMBER - KROGER PHARMACY J948

Laboratory Demographics

  • CLIA Code: 15D1006755
  • Facility Name: KROGER PHARMACY J948
  • Facility Address: 1660 CRAWFORDSVILLE SQR DR
    CRAWFORDSVILLE, IN
    ZIP 47933
  • Facility Phone: 765 361-3260
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAY LAWSON
  • NPI Number: 1467525980
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D1006755
LAB Type Pharmacy
Facility Name KROGER PHARMACY J948
Street 1660 CRAWFORDSVILLE SQR DR
City CRAWFORDSVILLE
State IN
ZIP 47933
Phone 765 361-3260
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/27/2024
Certificate Expiration Date 11/26/2026
Facility Type Pharmacy
Lab Director JAY LAWSON

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