15D1006770 CLIA NUMBER - KROGER PHARMACY #995

Laboratory Demographics

  • CLIA Code: 15D1006770
  • Facility Name: KROGER PHARMACY #995
  • Facility Address: 5350 E THOMPSON RD
    INDIANAPOLIS, IN
    ZIP 46234
  • Facility Phone: 317 781-3566
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CELENA KAISER
  • NPI Number: 1578636098
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D1006770
LAB Type Pharmacy
Facility Name KROGER PHARMACY #995
Street 5350 E THOMPSON RD
City INDIANAPOLIS
State IN
ZIP 46234
Phone 317 781-3566
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Pharmacy
Lab Director CELENA KAISER

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