15D1029977 CLIA NUMBER - KROGER PHARMACY #841

Laboratory Demographics

  • CLIA Code: 15D1029977
  • Facility Name: KROGER PHARMACY #841
  • Facility Address: 2718 GUILFORD ST
    HUNTINGTON, IN
    ZIP 46750
  • Facility Phone: 260 358-1506
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GRACE WHITHAM
  • NPI Number: 1619040136
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D1029977
LAB Type Pharmacy
Facility Name KROGER PHARMACY #841
Street 2718 GUILFORD ST
City HUNTINGTON
State IN
ZIP 46750
Phone 260 358-1506
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2025
Certificate Expiration Date 4/8/2027
Facility Type Pharmacy
Lab Director GRACE WHITHAM

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