15D1033672 CLIA NUMBER - KROGER PHARMACY 116

Laboratory Demographics

  • CLIA Code: 15D1033672
  • Facility Name: KROGER PHARMACY 116
  • Facility Address: 680 TWIN AIRE DR
    INDIANAPOLIS, IN
    ZIP 46203
  • Facility Phone: 317 264-1755
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAURA JONES
  • NPI Number: 1659444172
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D1033672
LAB Type Pharmacy
Facility Name KROGER PHARMACY 116
Street 680 TWIN AIRE DR
City INDIANAPOLIS
State IN
ZIP 46203
Phone 317 264-1755
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type Pharmacy
Lab Director LAURA JONES

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